MSP Billing Codes

Specialty: Plastic Surgery

Code Description Fee
6112 Abrasive surgery <1/4 of face $126.70
6113 Abrasive surgery 1/4 to 1/2 of face $246.18
6114 Abrasive surgery - full face $523.79
6125 Eyelids - blepharoplasty - simple $261.90
6126 Blepharoplasty - complicated $392.82
61025 Eyelids-blepharoplasty-simple(bilateral) $392.82
61026 Blepharoplasty-complicated-non-cosmetic(bilateral) $589.27
6221 Bone graft - inlay bone grafting of metacarpal or phalanx $354.92
61045 Immediate breast reconstruction-extra $202.31
61046 Biologic tissue for breast reconstruction-extra $303.46

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61047 Biologic tissue for breast reconstruction-extra $43.77
6078 Minor burns; dressing (in hosp care only) $57.62
6079 Surgical debridement; minor burns, each 5% of body $122.35
6080 Burns; subsequent surg debridement; each 5% body $30.37
6081 Burns surgical excision - first 5% of body surface $376.08
6082 Burns surgical excision/each additional 5% of body $203.93
6083 Burns, severe, general care - first hour $254.92
6084 Burns, severe, general care - subsequent hours $203.93
6055 Skin grafts - cavity grafting - eye socket $441.02
6056 Skin grafts/cavity grafting/eye socket with mucosa $675.68
6057 Skin grafts - cavity grafting - nose $393.90
6060 Skin grafts - cavity grafting - mouth $523.79
6061 Skin grafts/cavity grafting - lining pedicle flaps $300.67
6062 Bone cavity grafting in large bone over 7.5 cm $441.02
6064 Bone cavity in small bone - cavity grafting $254.92
6065 Bone cavity in large bone - cavity grafting $311.13
6066 Cavity grafting; absence of vagina - congenital $582.45
61250 Lipotransfer - aspiration - volume < 20 ml $81.88
61251 Lipotransfer - aspiration - volume 21-60 ml $102.34
61252 Lipotransfer - aspiration - volume > 60 ml $143.28
61260 Lipotransfer - injection functional area: < 20ml $122.81
61261 Lipotransfer - injection functional area: > 20 ml $184.23
61270 Lipotransfer-injection nonfunctional area: < 20ml $102.34
61271 Lipotransfer-injection nonfunc area: 21 to 60 ml $143.28
61272 Lipotransfer-injection nonfunctional area: > 60ml $184.23
6130 Auricle - accessory $254.92
6131 Otoplasty - outstanding ears(unilateral) $317.82
6132 Microtia - partial $377.06
6133 Microtia - total major $938.36
6134 Microtia - total minor $307.05
6135 Preauricular sinus - simple $254.92
6180 Preauricular sinus - complicated $304.33
61031 Otoplasty-outstanding ears(bilateral) $476.72
61360 Eyebrow ptosis repair-simple skin excision-unilate $261.90
61361 Eyebrow ptosis repair-simple skin excision-bilater $392.82
6222 Finger fracture - phalanx $126.70
6223 Fracture - metacarpal $126.70
6224 Fracture - distal phalanges, first $150.64
6225 Fracture - distal phalanges, each additional $126.70
61222 Crif phalangeal or metacarpal fracture (mid/prxml) $227.73
61223 Orif phalangeal or metacarpal fracture (mid/prxml) $340.00
61224 Open (compound) hand fractures primary wound mgmt $41.11
61225 Open (compound)hand fractures-secondary wound mgmt $82.15
6052 Skin grafts - head and neck - 65 sq. cm or less $440.00
6053 Skin graft; functional areas: head & neck > 65 cm $648.00
6054 Skin grafts - head and neck - in excess of 195 sq $1,033.97
6058 Skin grafts; functional areas; major joints, late $523.79
61350 Full-thickness graft-trunk (2 to 19 cm) $228.39
61351 Full-thickness graft-arms, legs,scalp (2 to 19cm) $289.29
61352 Full-thickness graft-axilla,cheeks,chin, etc (2 to $355.27
61353 Full-thickness graft-ears,eyelids,lips and nose (2 $395.89
61354 Graft (pinch,split or full thickness)-open area-up $310.00
6046 Split thickness free skin graft; < 6.5 sq. cm. $300.00
6047 Skin grafts - split thickness - free - 65 sq. cm $432.00
6048 Skin grafts - split thickness - free - 650 sq. cm $648.00
6049 Split thickness free skin grafts; each 6.5 > 650 $8.00
6182 Ganglia of tendon sheath or joint $182.27
6228 Arthroplasty of metacarpophalangeal/interphalangea $344.75
6229 Arthrodesis of metacarpophalangeal/interphalangeal $344.75
6231 Hand joints - rheumatoid - reconstruction $992.21
6232 Prosthesis - finger joint - first joint $259.64
6233 Prosthesis - finger joint - subsequent joints $147.59
6234 Synovectomy - rheumatoid disease $351.20
6235 Intrinsic release - joints $254.92
6236 Metacarpo/interphalangeal joint - closed reduction $125.35
6237 Metacarpo/interphalangeal joint - open reduction $254.92
6167 Treatment of lymphoedema, using the thompson procedure- upper extremity forearm $353.91
6168 Treatment of lymphoedema, using the thompson procedure-arm $235.39
6169 Treatment of lymphoedema, using the thompson procedure - lower extremity leg $591.48
6170 Treatment of lymphoedema, using the thompson procedure-thigh $591.48
61310 Lesions & scars-trunk, arms & legs-< 5cm $122.27
61311 Lesions & scars-trunk, arms & legs - 5-10cm $157.92
61312 Lesions & scars-trunk, arms & legs- > 10cm $234.35
61313 Lesions & scars-face, scalp, neck, etc. < 5cm $169.13
61314 Lesions & scars-face, scalp, neck, etc. 5-10 cm $224.15
61315 Lesions & scars-face, scalp, neck, etc. > 10cm $275.10
61316 Lesions & scars-eyelids, ears, lips, etc. < 2cm $178.30
61317 Lesions & scars-eyelids, ears, lips, etc. 2-4 cm $213.97
61318 Lesions & scars-eyelids, ears, lips, etc. >4 cm $290.38
61319 Excision of lesion(in hosp),tumour-free margin-ext $101.89
6110 Cheeks -facial paralysis - dynamic slings with local functional muscle transfer (unilateral) $785.69
6111 Cheeks- facial paralysis static slings (unilateral $650.54
6120 Complete repair for facial paralysis, plication of paralyzed muscles, meloplasty, and resection of overactive muscles bilateral $838.07
6129 Combined complete repair as above and rhytidectomy unilateral $945.41
6151 Decubitus ulcers - excision and treatment of bone, rotation flaps, and skin grafts to secondary defect $866.70
6159 Tram flap reconstruction of mastectomy defect $1,021.77
61152 Abdominal panniculectomy where medically indicated, secondary to chronic subpanus intertrigo, which has been unresponsive to a reasonable period of medical treatment $910.00
61156 Myocutaneous flap or fascia cutaneous flap rotated on its vascular or neurovascular pedicle involving small muscles $444.79
61157 Myocutaneous flap or fascia cutaneous flap rotated on its vascular or neurovascular pedicle involving medium muscles $630.91
61158 Myocutaneous flap or fascia cutaneous flap rotated on its vascular or neurovascular pedicle involving major muscles $955.00
6300 Osteotomies, maxillo-facial; le fort 1, horizontal $1,130.11
6301 Osteotomies, maxillo-facial le fort ii - pyramidal $1,399.45
6302 Maxillo-facial osteotomy; le fort iii intracranial $2,907.70
6303 Maxillo-facial osteotomy; le fort iii extracranial $2,476.77
6304 Osteotomies, maxillo-facial - malar maxilliary $1,291.71
6305 Osteotomies, mandibular maxillo-facial/unilateral $806.91
6306 Osteotomies, mandibular maxillo-facial - bilateral $968.51
6307 Osteotomies, pre-maxillary set back $806.91
6308 Mandibular osteotomy/internal fixation/unilateral $823.07
6309 Mandibular osteotomy - internal fixation/bilateral $1,183.97
6310 Osteotomy - orbital advancement - unilateral $2,799.96
6311 Osteotomy - orbital advancement $3,123.16
6312 Osteotomy - intracranial correction hypertelorism $3,769.56
6313 Osteotomy - orbital expansion $3,015.43
6314 Osteotomy - canthopexy $564.52
6216 Microvascular surgery - artery or vein $675.48
6217 Microreimplantation - digit or extremity $3,108.88
6220 Microvascular surgical free flap $3,108.09
6259 Microsurgical removal neoplasm, digital/palmar $336.04
61210 Certified plastic surgeon assist, over 1 hr-extra $50.58
6136 Plastic repair abbe operation $641.12
6137 Full lip thickness transfer by rotation flap $548.93
6138 Cleft lip - bilateral $1,061.16
6139 Cleft lip - unilateral $558.04
6142 Pharyngoplasty, pharyngeal flap $542.97
6143 Pharyngeal flap push back $750.90
6144 Cleft lip, bilateral - incomplete $750.90
6145 Cleft palate $553.74
6147 Palatal cleft - bone graft $612.99
6181 Lip adhesion for cleft palate $393.22
6156 Neuroma transplant $254.92
6255 Peripheral nerve suture: minor $254.92
6256 Nerve repair - palmar $254.92
6257 Peripheral nerve suture: major $403.31
6109 Rhinoplasty - removal of hump $238.09
6115 Rhinoplasty - forehead, 2 operations $917.68
6116 Rhinoplasty - composite graft $331.03
6117 Rhinophyma $335.05
6118 Rhinoplasty; bone graft to nose - autologous $601.15
6119 Rhinoplasty; bone graft nose, non-autologous $493.41
6124 Nasal fracture - wire plate fixation - open reduct $533.27
6153 Bone graft orbit, autologous $612.99
6154 Bone graft orbit, non-autologous implant $462.17
6087 Incision subperiosteal abscess $254.92
6027 Repair of torn (split) earlobe (simple) (operation only) $118.31
6238 Repair of complicated fingertip injury $201.05
61057 Nipple areolar reconstruction and tattooing $457.84
6005 Emergency visit - plastic surgery $104.23
6007 Subsequent visit, office, plastic surgery $25.43
6008 Subsequent visit, hospital, plastic surgery $36.71
6009 Subsequent visit, home, plastic surgery $80.00
6010 Consultation, plastic surgery $98.50
6012 Consultation, limited or repeat, plastic surgery $48.27
66007 Telehealth subsequent office visit plastic surgery $25.43
66008 Telehealth subsequent hospital visit -plastic surg $36.71
66010 Telehealth major consultation, plastic surgery $98.50
66012 Telehealth repeat or limited consult plastic surg $48.27
66015 Pre-operative assessment - plastic surgery $98.50
6240 Interdental and intermaxillary wiring $445.96
6241 Gunning splints impression $457.87
6242 Mandible -open reduction - unilateral $662.31
6243 Mandible -open reduction - bilateral $866.25
6244 Mandible -open reduction and wiring - unilateral $764.28
6245 Mandible -open reduction and wiring - bilateral $968.21
6246 Removal of sutures, intra-oral splints, under ga $301.47
6250 Face, fracture le forte - horizontal $968.21
6251 Face, fracture le forte - pyramidal $1,070.17
6252 Face, fracture le forte/cranio-facial dysjunction $1,213.31
6253 Wire suspension, craniomaxillary $1,111.81
6260 Maxillary fracture zygomatic - temporal elevation $328.22
6261 Maxillary fracture zygomatic - open reduction and $637.40
6262 Maxillary fracture zygomatic - reduction $457.93
6265 Maxillary fracture zygomatic - arch - temporal $356.42
6266 Zygomatic arch/open reduction/interosseous wiring $446.25
6270 Orbital floor fracture - open reduction $743.98
6271 Alveolar fracture - one tooth extraction $128.20
6272 Alveolar fracture - additional teeth $79.71
6273 Fracture-alveolus; arch bar fixation $409.62
6280 Temporo-mandibular joint; meniscectomy $446.25
6281 Temporo-mandibular joint; condylectomy $510.65
6282 Temporo-mandibular arthroplasty $726.12
6291 Mandibular resection; tumours; enucleation $606.54
6292 Mandibular resection; tumours; with bone graft $860.78
6293 Bone graft jaw, autologous $541.89
6294 Bone graft jaw, non-autologous $499.88
6042 Abscess - mid palmer/thenar/dorsal $254.92
6197 Acute tenosynovitis - finger $290.00
6198 Acute tenosynovitis - ulnar or radial bursa $290.00
61291 Biopsy, not sutured $89.10
61292 Biopsy,not sutured,multiples sm sitting,max4(extra $25.02
6026 Skin graft; arterial island flap $353.91
6030 Flaps from a distance-upper extremity-init stage $591.47
6031 Flaps from a distance -uper extremity-2nd stage $471.50
6032 Skin grafts; flaps from a distance, lower,initial $710.26
6033 Flaps from a distance - first stage -per operation $353.91
6034 Flaps from a distance-minor 2nd stage per operatio $235.39
6035 Flaps from a distance, delaying a flap(oper only) $163.48
6148 Hair bearing scalp vacular island flap to eyebrow $483.98
6171 Syndactyly local flap - first cleft $254.92
6172 Syndactyly with skin graft - first cleft $453.55
6177 Neurovascular pedicle $744.43
61320 Excision of malignant lesions-10-50cm - extra $61.13
61321 Excision of malignant lesions-51-100cm-extra $132.45
61322 Excision of malignant lesions-over 100cm-extra $183.40
61324 Advancement flap-nose,lids,lips or scalp-up to 2cm $185.44
61325 Advancement flap-face, neck or scalp (2.1 to 5 cm) $234.35
61326 Advancement flap-other areas (2.1 to 5 cm) $182.38
61327 Advancement flap-face, neck or scalp(5.1 to 10 cm) $355.27
61328 Advancement flap-other areas (5.1 to 10cm) $233.47
61329 Advancement flap - defects more than 10 cm $393.85
61330 Flaps - trunk - defect up to 40 cm $243.61
61331 Flaps - trunk - defect 40 cm to 100 cm $324.82
61332 Flaps - trunk - defect greater than 100 cm $423.66
61333 Flaps - arms, legs and scalp - defect up to 6 cm $305.76
61334 Flaps - arms,legs and scalp-defect 6 cm to 19 cm $346.00
61335 Flaps-arms,legs and scalp-defect > 19 cm $458.84
61336 Flaps-other areas(axilla,cheeks,face,etc)upto 6cm $305.76
61337 Flaps-other area(axilla,cheeks,face,etc)6cm-19cm $346.78
61338 Flaps-other area(axilla,cheeks,face,etc)-defect>19 $469.01
61339 Flaps-ears,eyelids,lips and nose-defect upto 6 cm $347.03
61340 Flaps-ears,eyelids,lips and nose-defect 6 cm to $457.92
61341 Flaps-ears,eyelids,lips and nose-defect > 19 cm $509.26
61342 Revision of graft - less than 2 cm $203.01
61343 Revision of graft - between 2 and 5 cm $243.61
61344 Revision of graft - greater than 5 cm $284.22
61300 Wounds-up to 5cm-other than face, simple closure $137.54
61301 Wounds-up to 5cm-face(bleeders &/or layered closur $203.77
61302 Wounds-5.1 to 10cm-other than face, simple closure $244.52
61303 Wounds-5.1 to 10cm-face(bleeders &/or layered clos $254.72
61304 Wounds-10.1 to 15cm-other than face, simple closur $285.29
61305 Wounds-10.1 to 15cm-face(bleeders &/or layered clo $356.60
61306 Wounds-15.1cm or more-other than face, simple clos $305.66
61307 Wounds-15.1cm or more-face(bleeders &/or layered $407.55
61308 Coordination of anesthetic svcs-for laceration ext $203.77
6200 Tattooing surgery facial area - < 1/4 of face $114.69
6201 Tattooing surgery facial area - 1/4 to 1/2 face $235.39
6202 Tattooing surgery facial area - full face $353.91
6205 Tattooing surgery non-facial area - < 6.5 sq. cm $59.75
6206 Tattooing surgery non-facial area - < 65 sq. cm $118.31
6207 Tattooing surgery non-facial area - < 650 sq. cm $235.39
6175 Pollicization $1,150.59
6176 Digital transplant $952.71
6185 Tendon graft $705.63
6186 Tenoplasty - one tendon $231.62
6187 Tenoplasty - two or more tendons $377.06
6188 Tenolysis $392.14
6189 Tenolysis - each additional $145.44
6193 Palmar fasciectomy - extensive $433.71
6194 Palmar fasciectomy - with skin grafting $561.51
6195 Silastic rod prior to tendon grafting $462.17
6203 Tendon transfer hand and wrist $448.72
6204 Tendon transfer hand and wrist - each additional $163.48
61230 Needle aponeurectomy - dupuytren's diseasec $151.13
61363 Flexor-primary or secondary repair - first tendon $377.06
61364 Flexor - second to sixth tendon repair (extra) $188.53
61365 Flexor - seventh to eleventh tendon repair (extra) $94.27
61366 Flexor - twelfth and over tendon repair (extra) $47.14
61368 Extensor - primary or secondary repair - first ten $237.02
61369 Extensor - second to sixth tendon repair (extra) $118.51
61370 Extensor -seventh to eleventh tendon repair(extra) $59.24
61371 Extensor - twelfth and over tendon repair (extra) $29.62
6085 Tissue expansion - major areas $559.83
6086 Tissue expansion - minor areas $351.98
6150 Reduction mammoplasty for hypermastia - unilateral $527.85
6157 Nipple-areolar reconstruction $339.52
6164 Breast replacement - unilateral $405.66
6165 Breast replacement - bilateral $608.76
6178 Breast implant - excision/pathologic capsule $410.00
6179 Breast implant - excision only $245.70
61050 Reduction mammoplasty for hypermastia bilateral $866.49
61053 Reduction mammoplasty for hypermastia bilateral $772.73
61054 Bilateral mastectomy in the context of gender affirming surgery, female to male (ftm) - (to include bilateral subcutaneous mastectomy, nipple-areolar reconstruction and chest wall reconstruction $1,476.26
61166 Mastopexy, balancing unilateral (isolated procedure) $458.02
61167 Mastopexy, balancing when performed at same time as contralateral breast surgery $305.44

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.

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