Updates to claim processing for E832, A/C073, A/C074, A/C071, and A078

The Ministry of Health and the Ontario Medical Association are implementing permanent adjustments to physician payments effective April 1,
2026, as part of the 2024 Physician Services Agreement (PSA).

These adjustments are being added to the OHIP claims system through staged implementations. The following changes were implemented July 1, 2026, with an effective date of April 1, 2026.

Fee schedule code Description of change

  • E832 Increased to allow 2 services per limb per day. A stale-date exemption is in place for 3 months.
  • A/C073, A/C074, A/C071, and A078 Assessment of dementia can be billed for patients with no age restriction. A stale-date exemption is in place for 3 months.

E832 – Excision of fascia for Dupuytrens, additional rays, to R551

Effective April 1, 2026, the Schedule of Benefits allows two E832 services per limb, per day.

If a provider performs a bilateral ‘Excision of fascia for Dupuytrens (palmar fibromatosis), single ray, with or without flaps’ on the same day and also performs ‘excision of fascia for Dupuytrens, additional rays’ on more than one additional ray per limb, where the claim will be 3 or 4 units of E832, the claim should be flagged for manual review.

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