OHIP fee codeE516

Endocarditis complexity premium, to procedural f ee(s) add 25%

CARDIOVASCULAR SURGICAL PROCEDURES · PREAMBLE

No listed fee

What this reference tells you

E516 identifies the Ontario insured service described as “Endocarditis complexity premium, to procedural f ee(s) add 25%.” The listed fee and rules are reference data; the clinical record must support the service actually performed.

Loaded billing requirements

E516 is not eligible for payment if IE is incidental, resolved, or does not complicate the procedure.

Before using this code

Confirm the current Ministry publication, the patient and provider context, the date of service, and documentation supporting the claim. A searchable reference does not establish eligibility or guarantee payment.

Loaded billing requirements

Before using this code

Take the code from reference to reviewed claim.