Integumentary system surgical procedures OHIP billing codes

Incision

Code	Description	Amount	Ans Units	Assist Units
Z101	Abscess or haematoma - Local anaesthetic - subcutaneous - one	$25.75	N/A	N/A
Z173	Abscess or haematoma - Local anaesthetic - subcutaneous - two	$30.35	N/A	N/A
Z174	Abscess or haematoma - Local anaesthetic - subcutaneous - three or more	$40.80	N/A	N/A
Z104	Abscess or haematoma - Local anaesthetic - subcutaneous - perianal	$20.10	N/A	N/A
Z106	Abscess or haematoma - Local anaesthetic - subcutaneous - ischiorectal or pilonida	$44.35	N/A	N/A
Z103	Abscess or haematoma - Local anaesthetic - subcutaneous - palmar or plantar spaces	$44.35	N/A	N/A
	E542 - , when performed outside hospital add	$0.00	N/A	N/A
Z102	Abscess or haematoma - General anaesthetic - subcutaneous - one	$44.35	6	N/A
Z172	Abscess or haematoma - General anaesthetic - subcutaneous - two or more	$66.00	7	N/A
Z105	Abscess or haematoma - General anaesthetic - subcutaneous - perianal	$66.00	6	N/A
Z107	Abscess or haematoma - General anaesthetic - subcutaneous - ischiorectal or pilonidal	$108.00	6	N/A
Z108	Abscess or haematoma - General anaesthetic - subcutaneous - palmar or plantar spaces	$72.00	6	N/A
Z114	Foreign body removal - local anaesthetic	$25.25	N/A	N/A
	E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add	$0.00	N/A	N/A
Z115	Foreign body removal - general anaesthetic	$88.80	6	6
Z100	Foreign body removal - general anaesthetic: complicated	$0.00	7	6
Z227	Foreign body removal - Intramuscular abscess or haematoma	$101.65	6	N/A
Z118	Foreign body removal - Aspiration of superficial lump for cytology	$28.25	N/A	N/A
Z116	Biopsy(ies) - any method, when sutures are used	$29.60	N/A	N/A
	E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add	$0.00	N/A	N/A
Z113	Biopsy(ies) - any method, when sutures are not used	$29.60	N/A	N/A
Z155	Biopsy(ies) extensive, complicated or requiring general anaesthetic when sole procedure	$0.00	N/A	N/A
Z245	Biopsy for malignant hyperthermia, three or more	$152.85	10	N/A
Z141	Needle biopsy - one or more	$37.20	N/A	N/A
	E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add	$0.00	N/A	N/A
Z143	Needle biopsy - large core breast biopsy (14 gauge or larger bore needle)	$132.75	N/A	N/A
Z139	Aspiration of cyst - one or more	$37.20	N/A	N/A
Z140	Drainage of intramammary abscess or haematoma - Single or multiloculated local anaesthetic	$33.00	N/A	N/A
Z740	Drainage of intramammary abscess or haematoma - Single or multiloculated general anaesthetic	$75.00	6	N/A

Excision

Code	Description	Amount	Ans Units	Assist Units
R107	Tumour or tissue for diagnostic biopsy and/or treatment, e.g. carcinoma, fibroadenoma or fibrocystic disease (single or multiple same breast)	$169.95	6	6
	E525 - Tumour or tissue for diagnostic biopsy and/or treatment, e.g. carcinoma, fibroadenoma or fibrocystic disease (single or multiple same breast) after mammographic wire localization, to R107 . . . Add	$41.55	N/A	N/A
R111	Partial mastectomy or wedge resection for treatment of breast disease, with or without biopsy, e.g. carcinoma or extensive fibrocystic disease	$269.40	7	6
	E525 - Tumour or tissue for diagnostic biopsy and/or treatment, e.g. carcinoma, fibroadenoma or fibrocystic disease (single or multiple same breast) after mammographic wire localization, to R107 . . . Add	$41.55	N/A	N/A
	E546 - Partial mastectomy or wedge resection for treatment of breast disease, with or without biopsy, e.g. carcinoma or extensive fibrocystic disease with axillary node dissection up to the level of the axillary vein, to R111 . . . add	$388.75	N/A	N/A
	E505 - Partial mastectomy or wedge resection for treatment of breast disease, with or without biopsy, e.g. carcinoma or extensive fibrocystic disease with limited axillary node sampling, to R111 . . . add	$178.05	N/A	N/A
R108	Mastectomy - female (with or without biopsy) - simple	$330.00	7	6
R117	Mastectomy - female (with or without biopsy) - subcutaneous with nipple preservation	$273.95	7	6
	E505 - Partial mastectomy or wedge resection for treatment of breast disease, with or without biopsy, e.g. carcinoma or extensive fibrocystic disease with limited axillary node sampling, to R111 . . . add	$178.05	N/A	N/A
R109	Mastectomy, radical or modified radical (with or without biopsy)	$685.00	7	6
R146	Mastectomy - male (benign) - simple	$177.50	7	6
R147	Mastectomy - male (benign) - subcutaneous with nipple preservation	$273.95	7	6
R148	Mastectomy - male - Unilateral for treatment of pathological male breast disease (with or without biopsy), e.g. carcinoma - simple	$273.95	7	6
R149	Mastectomy - male - Unilateral for treatment of pathological male breast disease (with or without biopsy), e.g. carcinoma - subcutaneous with nipple preservation	$273.95	7	6
	E505 - Partial mastectomy or wedge resection for treatment of breast disease, with or without biopsy, e.g. carcinoma or extensive fibrocystic disease with limited axillary node sampling, to R111 . . . add	$178.05	N/A	N/A
S093	Enucleation of benign oesophageal tumour	$584.15	N/A	N/A

Plastic Surgery Procedures

Code	Description	Amount	Ans Units	Assist Units
R150	Plastic Surgery Procedures - Very Minor - The minimum benefit for each would be as follows:	$92.30	6	N/A
R151	Plastic Surgery Procedures - Minor - The minimum benefit for each would be as follows:	$140.25	6	6
R152	Plastic Surgery Procedures - Intermediate - The minimum benefit for each would be as follows:	$259.20	7	6
R153	Plastic Surgery Procedures - Major - The minimum benefit for each would be as follows:	$388.00	7	6
R154	Plastic Surgery Procedures - Extensive Major - The minimum benefit for each would be as follows:	$568.95	6	6
Z132	Insertion of tissue expander	$304.10	7	6
	E527 - additional expander, same incision . . . Add	$58.95	N/A	N/A
	E528 - additional expander, different incision . . . Add	$258.50	N/A	N/A
Z094	Removal tissue expander injection port when sole procedure - general anaesthetic	$75.45	6	6
Z095	Removal tissue expander injection port when sole procedure - local anaesthetic	$37.70	N/A	N/A
Z137	Percutaneous inflation of first tissue expander	$23.05	N/A	N/A
	E541 - each additional expander (to a maximum of 3)	$11.55	N/A	N/A
Z138	Replacement of tissue expander by permanent prosthesis	$195.85	7	N/A

Scar Revision Any Method Of Closure

Code	Description	Amount	Ans Units	Assist Units
R021	Scar Revision - Up to 2.5 cm - face or neck	$115.60	6	6
R026	Scar Revision - Up to 2.5 cm - other areas	$77.35	6	6
R022	Scar Revision - 2.6 cm to 5 cm - face or neck	$194.85	6	6
R027	Scar Revision - 2.6 cm to 5 cm - other areas	$130.10	6	6
R023	Scar Revision - 5.1 cm to 10 cm - face or neck	$277.90	7	6
R028	Scar Revision - 5.1 cm to 10 cm - other areas	$185.60	6	6
R017	Scar Revision - Greater than 10 cm - face or neck	$417.05	7	6
R029	Scar Revision - Greater than 10 cm - other areas	$288.20	7	6

Finger Or Toe Nail

Code	Description	Amount	Ans Units	Assist Units
Z110	Extensive debridement of onychogryphotic nail involving removal of multiple laminae	$17.45	N/A	N/A
Z128	Simple, partial or complete, nail plate excision requiring anaesthesia - one	$33.10	6	N/A
Z129	Simple, partial or complete, nail plate excision requiring anaesthesia - multiple	$35.70	6	N/A
	E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add	$0.00	N/A	N/A
Z130	Radical, including destruction of nail bed - one	$62.75	6	N/A
Z131	Radical, including destruction of nail bed - multiple	$82.65	6	N/A
	E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add	$0.00	N/A	N/A
R089	Webbed fingers and toes - Webbed fingers one web space	$400.00	6	6
R090	Webbed fingers and toes - Webbed toes one web space	$250.00	7	6

Free Island Flaps

Code	Description	Amount	Ans Units	Assist Units
R013	Free jejunum artery and vein for transplantation	$338.85	10	10
R014	Preparation of microvascular recipient site for free jejunum artery and vein	$925.85	10	10
R016	Preparation of microvascular recipient site for jejunum artery and vein immediately following ablative surgery, and when recipient vessels are in site of the ablation	$544.95	10	10
R015	Transplantation of free jejunum artery and vein with microvascular anastomosis	$925.85	10	10
R064	Elevation of free island skin and subcutaneous flap and closure of defect	$874.60	10	10
R065	Preparation of microvascular recipient site for free island skin subcutaneous flap	$925.85	10	10
R055	Preparation of microvascular recipient site for free island flap and subcutaneous flap immediately following ablative surgery and when recipient vessels are in site of the ablation	$544.95	10	10
R066	Transplantation of free island skin and subcutaneous flap with microvascular anastomosis(es)	$925.85	10	10
R067	Elevation of innervated free island skin and subcutaneous flap and closure of defect	$1,028.20	10	10
R068	Preparation of microvascular recipient site for innervated free island skin and subcutaneous flap	$1,028.20	10	10
R056	Preparation of microvascular recipient site for innervated free island skin and subcutaneous flap immediately following ablative surgery and when recipient vessels are in the site of ablation	$605.15	10	10
R069	Transplantation of innervated free island skin and subcutaneous flap with microvascular anastomosis(es) and nerve repair	$961.60	10	10
R125	Elevation of free island skin and muscle flap and closure of defect	$874.60	10	10
R126	Preparation of microvascular recipient site for free island skin and muscle flap	$925.85	10	10
R122	Preparation of microvascular recipient site for free island skin and muscle flap immediately following ablative surgery and when recipient vessels are in the site of the ablation	$544.95	10	10
R127	Transplantation of free island skin and muscle flap with microvascular anastomosis(es)	$874.60	10	10
R128	Elevation of free island muscle flap with tendon and nerve, and closure of defect .	$1,183.50	10	10
R129	Preparation of microvascular recipient site for muscle, tendon and nerve anastomosis(es)	$1,183.20	10	10
R123	Preparation of microvascular recipient site for muscle, tendon and nerve anastomosis(es) immediately following ablative surgery and when recipient vessels are in site of the ablation	$696.40	10	10
R130	Transplantation of free island muscle flap with tendon, nerve and microvascular anastomosis(es)	$1,183.50	10	10
R131	Elevation of free island bone flap and closure of defect	$874.60	10	10
R132	Preparation of microvascular recipient site for free island bone flap	$925.85	10	10
R124	Preparation of microvascular recipient site for free island bone flap immediately following ablative surgery and when recipient vessels are in the site of the ablation	$544.95	10	10
R133	Transplantation of free island bone flap with microvascular anastomosis(es) and bone fixation	$1,028.20	10	10
R134	Elevation of free island skin and bone flap and closure of defect	$1,048.60	10	10
R135	Preparation of microvascular recipient site for free island skin and bone flap	$1,048.60	10	10
R140	Preparation of microvascular recipient site for free island skin and bone flap immediately following ablative surgery and when recipient vessels are in the site of the ablation	$617.10	10	10
R136	Transplantation of free island skin and bone flap with microvascular anastomosis(es) and bone fixation	$1,048.60	10	10
R137	Elevation of free toe or finger and closure of defect	$1,048.60	10	10
R138	Preparation of microvascular recipient site for free toe or finger transplant	$1,048.60	10	10
R141	Preparation of microvascular recipient site for free toe or finger transplant immediately following ablative surgery and when recipient vessels are in the site of the ablation	$617.10	10	10
R139	Transplantation of free island toe or finger with microvascular anastomosis(es) and tendon nerve and bone repair	$1,233.75	10	10
R025	Revision of free island flaps	$0.00	10	10
R106	Skin flaps and grafts other	$0.00	N/A	N/A

Skin Grafts

Code	Description	Amount	Ans Units	Assist Units
R084	Split thickness grafts - Very minor, very small areas, e.g. trauma	$92.30	7	N/A
R085	Split thickness grafts - Minor, medium sized areas, e.g. small or skin ulcer, breast, etc	$140.25	6	6
R086	Split thickness grafts - Intermediate, large areas, e.g. trunk, arms, legs	$259.10	7	6
R087	Split thickness grafts -Major, complex areas, e.g. face, neck, hands	$388.00	7	6
R088	Split thickness grafts -Extensive major, very large area(s)	$567.95	6	6
R092	Full thickness grafts - Minor less than 1 cm average diameter	$116.65	7	N/A
R093	Full thickness grafts - Intermediate 1 cm to 5 cm average diameter	$178.90	7	6
R083	Full thickness grafts - Major over 5 cm	$280.15	7	6
R091	Full thickness grafts - Complex eyelid, nose, lip, face	$263.95	7	6
R057	Appendage or tissue revascularization involving microanastomosis with or without micro neuroanastomosis	$0.00	N/A	N/A
R058	Revision of appendage or tissue revascularization involving microanastomosis with or without micro neuroanastomosis	$0.00	N/A	N/A
R847	Stasis ulcer - with skin graft per leg	$195.85	7	6
R845	Stasis ulcer - multiple ligation and skin graft per leg	$341.55	6	6
R061	Neurovascular island transfer - Minor, e.g. finger tip	$140.25	6	6
R062	Neurovascular island transfer - Intermediate, e.g. finger to thumb transfer	$259.20	6	6
R063	Neurovascular island transfer - Major, e.g. foot to heel	$430.85	6	6

Skin Flaps

Code	Description	Amount	Ans Units	Assist Units
R011	Advancement flaps - Defect 2.1 to 5 cm - face, neck or scalp	$89.85	6	6
R002	Advancement flaps - Defect 2.1 to 5 cm - other areas	$67.40	6	6
R012	Advancement flaps - Defect 5.1 to 10 cm - face, neck or scalp	$247.15	6	6
R003	Advancement flaps - Defect 5.1 to 10 cm - other areas	$161.75	6	6
R004	Advancement flaps - Defect more than 10 cm such as thoracic abdominal flap	$242.70	7	6
R045	Rotations, transpositions, Z-plasties - Defect less than 2 cm average diameter - face, neck or scalp	$203.70	6	6
R072	Rotations, transpositions, Z-plasties - Defect less than 2 cm average diameter - other areas	$133.40	7	6
R046	Rotations, transpositions, Z-plasties - Defect 2.1 to 5 cm average diameter - face, neck or scalp	$335.15	6	6
R075	Rotations, transpositions, Z-plasties - Defect 2.1 to 5 cm average diameter - other areas	$223.35	6	6
R047	Rotations, transpositions, Z-plasties - Defect 5.1 to 10 cm average diameter - face, neck or scalp	$477.45	7	6
R073	Rotations, transpositions, Z-plasties - Defect 5.1 to 10 cm average diameter - other areas	$318.45	7	6
R076	Rotations, transpositions, Z-plasties - Defect more than 10 cm average diameter - face, neck or scalp	$709.90	7	6
R074	Rotations, transpositions, Z-plasties - Defect more than 10 cm average diameter -other areas	$477.85	7	6
R070	Pedicle flaps - Small/Intermediate, e.g. cross finger, cervical finger	$293.75	7	6
R071	Pedicle flaps - Small/Intermediate, e.g. cross finger, cervical finger - each subsequent stage	$223.35	6	6
R080	Pedicle flaps - Large, e.g. cross leg, deltopectoral, forehead	$416.30	6	6
R078	Pedicle flaps - Large, e.g. cross leg, deltopectoral, forehead - each subsequent stage	$311.45	7	6
	E069 - Pedicle flaps preparation of a contracted recipient site, to R070 or R080 . . . add	$134.75	N/A	N/A
R101	Pedicle flaps - Delay, Small/Intermediate flap	$132.45	7	6
R100	Pedicle flaps - Delay, major flap	$291.90	6	6
R005	Myocutaneous, myogenous or fascia-cutaneous flaps - Sternomastoid, tensor fascia lata, gluteus maximus, gracilis, sartorius, rectus femoris, gastrocnemius (medial and lateral), trapezius	$545.00	6	6
R006	Myocutaneous, myogenous or fascia-cutaneous flaps - Pectoralis major	$734.95	6	6
R155	Myocutaneous, myogenous or fascia-cutaneous flaps - Latissimus dorsi or unilateral rectus abdominus	$734.95	6	6
R008	Myocutaneous, myogenous or fascia-cutaneous flaps - Lower transverse rectus abdominus flap	$984.55	8	6
Z196	Myocutaneous, myogenous or fascia-cutaneous flaps - Repair of abdominal defect - different surgeon	$377.65	N/A	N/A
	E523 - Myocutaneous, myogenous or fasciacutaneous flaps Repair of abdominal defect same surgeon, to other procedure . . . Add	$321.00	N/A	N/A
R009	Myocutaneous, myogenous or fascia-cutaneous flaps - Myocutaneous osseous flaps e.g. pectoralis major myocutaneous flap with rib graft, trapezius flap with scapula spine	$783.40	8	6
R007	Myocutaneous, myogenous or fascia-cutaneous flaps - Other	$0.00	N/A	N/A

Necrotizing Fasciitis

Code	Description	Amount	Ans Units	Assist Units
R698	Debridement, excision and flap and/or graft closure - in Operating Room - Debridement, excision and flap and/or graft closure for necrotizing fasciitis . . . Per unit	$100.00	10	6

Burns

Code	Description	Amount	Ans Units	Assist Units
R030	Minor burns	$0.00	6	6
R038	Moderate burns	$0.00	10	6
R039	Major burns	$0.00	15	8
Z180	Resuscitation - Major Burn, Initial Care - first day	$106.25	N/A	N/A
Z181	Resuscitation - Major Burn, Initial Care - continuing care, 2nd to 4th day inclusive, per day	$53.10	N/A	N/A
R691	Debridement, excision and/or grafting - in Operating Room - Minor burn . . . Per unit	$75.00	N/A	N/A
R692	Debridement, excision and/or grafting - in Operating Room - Moderate burn . . . Per unit	$87.50	N/A	N/A
R693	Debridement, excision and/or grafting - in Operating Room - Major burn . . . Per Unit	$100.00	N/A	N/A
R660	Burn debridement and excision - outside Operating Room - hand each digit	$28.90	N/A	N/A
R661	Burn debridement and excision - outside Operating Room - dorsum, palm each	$47.95	N/A	N/A
R662	Burn debridement and excision - outside Operating Room - nose, cheek, lip, ear, forehead, scalp, neck, eyelid each	$28.90	N/A	N/A
R637	Debridement and excision, per % of total body treated other than hand, head or neck	$29.65	N/A	N/A
R690	Skin allograft procurement - for banking purposes, per % of total body harvested, other than hand, head or neck	$17.25	7	7

Wound And Ulcer Debridement

Code	Description	Amount	Ans Units	Assist Units
Z080	Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - one	$20.00	N/A	N/A
Z081	Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - two	$30.00	N/A	N/A
Z082	Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - three	$45.00	N/A	N/A
Z083	Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - four or more	$60.00	N/A	N/A
Z084	Debridement of wound(s) and/or ulcer(s) extending into any of the following structures: tendon, ligament, bursa and/or bone - one	$60.00	N/A	N/A
Z085	Debridement of wound(s) and/or ulcer(s) extending into any of the following structures: tendon, ligament, bursa and/or bone - two or more	$90.00	N/A	N/A
	E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add	$0.00	N/A	N/A

Malignant Lesions Including Biopsy Of Each Lesion Single Or Multiple Sites

Code	Description	Amount	Ans Units	Assist Units
R048	Face or neck - Simple excision - single lesion	$92.15	6	6
R049	Face or neck - Simple excision - two lesions	$139.20	7	6
R050	Face or neck - Simple excision - three or more lesions	$233.00	7	6
	E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add	$0.00	N/A	N/A
R094	Other areas - Simple excision - single lesion	$58.15	7	6
R040	Other areas - Simple excision - two lesions	$95.70	6	6
R041	Other areas - Simple excision - three or more lesions	$191.40	7	6
	E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add	$0.00	N/A	N/A
R010	Malignant melanoma - wide excision in any area and must include > 1 cm margins and layered closure	$124.10	7	6
	E540 - if excision is performed in hospital for tumour free margin with frozen section, to excision or repair fees . . . Add 25%	$0.00	N/A	N/A
R018	Face or neck - Curettage, electrodesiccation or cryosurgery - single lesion	$68.55	6	6
R019	Face or neck - Curettage, electrodesiccation or cryosurgery - two lesions	$112.90	7	6
R020	Face or neck - Curettage, electrodesiccation or cryosurgery - three or more lesions	$225.75	6	6
R031	Other areas - Curettage, electrodesiccation or cryosurgery - single lesion	$55.05	6	6
R032	Other areas - Curettage, electrodesiccation or cryosurgery - two lesions	$90.70	7	6
R033	Other areas - Curettage, electrodesiccation or cryosurgery - three or more lesions	$181.55	6	6
R051	Laser surgery on Group 1 4, premalignant and malignant lesions	$0.00	N/A	N/A
Z117	Chemical and/or cryotherapy treatment of skin lesions - Chemical and/or cryotherapy treatment, one or more lesions	$11.65	N/A	N/A

Excision Of Pre Malignant Lesions Including Biopsy Of Each Lesion – Single Or Multiple Sites

Code	Description	Amount	Ans Units	Assist Units
R160	Face or Neck - Simple excision - single lesion	$53.20	6	6
R161	Face or Neck - Simple excision - two lesions	$87.40	6	6
R162	Face or Neck - Simple excision - three or more lesions	$174.75	6	6
	E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add	$0.00	N/A	N/A
R163	Other Areas - Simple excision - single lesion	$43.60	6	6
R164	Other Areas - Simple excision - two lesions	$71.80	6	6
R165	Other Areas - Simple excision - three or more lesions	$143.55	6	6
	E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add	$0.00	N/A	N/A
Z119	Cryotherapy treatment of at least 5 premalignant actinic keratosis lesions on the same day, not to include freezethaw cycles	$29.00	N/A	N/A

Excision (With Or Without Biopsy): Lesions Single Or Multiple Sites

Code	Description	Amount	Ans Units	Assist Units
Z156	Group 1 - e.g. keratosis, pyogenic granuloma - Removal by excision and suture - single lesion	$0.00	6	20
Z157	Group 1 - e.g. keratosis, pyogenic granuloma - Removal by excision and suture - two lesions	$26.50	6	N/A
Z158	Group 1 - e.g. keratosis, pyogenic granuloma - Removal by excision and suture - three or more lesions	$44.25	6	N/A
	E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add	$0.00	N/A	N/A
Z159	Group 1 - e.g. keratosis, pyogenic granuloma - Removal by electrocoagulation and/or curetting - single lesion	$10.55	6	N/A
Z160	Group 1 - e.g. keratosis, pyogenic granuloma - Removal by electrocoagulation and/or curetting - two lesions	$15.85	6	N/A
Z161	Group 1 - e.g. keratosis, pyogenic granuloma - Removal by electrocoagulation and/or curetting - three or more lesions	$26.20	6	N/A
Z162	Group 2 - nevus - Removal by excision and suture - single lesion	$0.00	6	20
Z163	Group 2 - nevus - Removal by excision and suture - two lesions	$26.50	6	N/A
Z164	Group 2 - nevus - Removal by excision and suture - three or more lesions	$44.25	6	N/A
	E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add	$0.00	N/A	N/A
Z165	Group 2 - nevus - Congenital (extensive)	$0.00	N/A	N/A
Z122	Group 3 - cyst, haemangioma, lipoma - Face or neck Local anaesthetic - single lesion	$38.50	N/A	N/A
Z123	Group 3 - cyst, haemangioma, lipoma - Face or neck Local anaesthetic - two lesions	$67.80	N/A	N/A
Z124	Group 3 - cyst, haemangioma, lipoma - Face or neck Local anaesthetic - three or more lesions	$78.00	N/A	N/A
	E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add	$0.00	N/A	N/A
Z145	Group 3 - cyst, haemangioma, lipoma - Face or neck General anaesthetic - single lesion	$65.35	6	6
Z146	Group 3 - cyst, haemangioma, lipoma - Face or neck General anaesthetic - two lesions	$98.55	6	6
Z147	Group 3 - cyst, haemangioma, lipoma - Face or neck General anaesthetic - three or more lesions	$162.55	6	6
Z148	Group 3 - cyst, haemangioma, lipoma - Face or neck General anaesthetic - extensive or massive	$0.00	7	6
Z125	Group 3 - cyst, haemangioma, lipoma - Other areas - Local anaesthetic - single lesion	$32.00	N/A	N/A
Z126	Group 3 - cyst, haemangioma, lipoma - Other areas - Local anaesthetic - two lesions	$45.00	N/A	N/A
Z127	Group 3 - cyst, haemangioma, lipoma - Other areas - Local anaesthetic - three or more lesions	$60.00	N/A	N/A
	E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add	$0.00	N/A	N/A
Z149	Group 3 - cyst, haemangioma, lipoma - Other areas General anaesthetic - single lesion	$50.00	6	6
Z150	Group 3 - cyst, haemangioma, lipoma - Other areas General anaesthetic - two lesions	$98.55	6	6
Z151	Group 3 - cyst, haemangioma, lipoma - Other areas General anaesthetic - three or more lesions	$98.55	6	6
Z152	Group 3 - cyst, haemangioma, lipoma - Other areas General anaesthetic -extensive or massive	$0.00	6	6
Z096	Group 4 - other lesions - Lipoma 5 to 10 cm	$80.00	6	6
	E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add	$0.00	N/A	N/A
Z097	Group 4 - other lesions - Lipoma over 10 cm	$160.00	6	6
R034	Group 4 - other lesions - Congenital dermoid cyst adult	$124.40	6	6
R043	Group 4 - other lesions - Congenital dermoid cyst adult - infant or child	$201.10	6	6
R042	Group 4 - other lesions - Congenital dermoid cyst adult - midline, e.g. nasal	$272.80	6	6
R037	Group 4 - other lesions - Giant cell tumour	$200.00	6	6
R035	Group 4 - other lesions - Pilonidal cyst - simple excision or marsupialization	$200.00	6	N/A
R054	Group 4 - other lesions - Pilonidal cyst - simple excision or marsupialization, if patient's BMI greater than 40	$250.00	6	6
R036	Group 4 - other lesions - Pilonidal cyst - excision and skin shift	$280.00	6	6
R059	Group 4 - other lesions - Inguinal, perineal or axillary skin and sweat glands for hyperhydrosis and/or hydradenitis - unilateral	$248.80	6	6
R060	Inguinal, perineal or axillary skin and sweat glands for hyperhydrosis and/or hydradenitis - with skin graft(s) or rotation flap(s)	$377.90	7	6

Repair

Code	Description	Amount	Ans Units	Assist Units
R119	Post-mastectomy breast reconstruction - Breast mound creation by prosthesis as sole procedure	$350.00	7	6
R118	Breast skin reconstruction by local flaps or grafts, includes Wise pattern skin flaps and deepithelialized skin flaps	$405.60	6	6
	E529 - with breast mound creation by prosthesis, to R118 . . . add	$102.45	N/A	N/A
R156	Breast mound creation by insertion of tissue expander, includes creation of submuscular pocket	$425.00	6	6
	E513 - breast mound creation by soft tissue, includes flap insetting and shaping for autogenous reconstruction, to R118, R125, R064, R008 or R155 . . . Add	$297.50	N/A	N/A
	E514 - immediate breast reconstruction following mastectomy, to R125, R064, R156, R008 or R155 . . . add	$200.00	N/A	N/A
R114	Revision of breast mound	$230.30	7	6
R120	Nippleareola reconstruction by grafts and/or flaps	$300.00	7	6
R142	Nippleareola tattooing unilateral	$175.00	N/A	N/A
R143	Contralateral balancing mastopexy or reduction, to include nipple transplantation or grafting, if rendered	$472.15	6	6
R144	Contralateral balancing augmentation mammoplasty	$350.00	6	6
R110	Reduction mammoplasty and augmentation mammoplasty (other than post-mastectomy breast reconstruction) - Reduction mammoplasty (female, to include nipple transplantation or grafting, if rendered) unilateral	$472.15	7	6
R112	Augmentation mammoplasty unilateral	$350.00	7	6
Z142	Removal of breast prosthesis	$150.00	7	6
Z135	Open capsulotomy with or without replacement of breast prosthesis	$195.95	7	6
Z182	Breast capsulectomy	$255.05	7	6
	E554 - synovectomy requiring a minimum of 30 minutes to resect add	$175.00	N/A	N/A
	E551 - Autogenous separate incision . . . Add	$86.30	N/A	N/A
	E552 - Autogenous same incision . . . Add	$58.45	N/A	N/A

Other

Code	Description	Amount	Ans Units	Assist Units
R081	MOHS Micrographic Surgery - Initial cut, including debulking	$315.45	7	6
	E524 - MOHS Micrographic Surgery one or more additional cuts, to R081 . . . Add	$273.45	N/A	N/A
Z176	Repair of lacerations - up to 5 cm	$20.00	6	N/A
Z154	Repair of lacerations - up to 5 cm if on face and/or requires tying of bleeders and/or closure in layers	$35.90	6	N/A
Z175	Repair of lacerations - 5.1 to 10 cm	$35.90	6	N/A
Z177	Repair of lacerations - 5.1 to 10 cm if on face and/or requires tying of bleeders and/or closure in layers	$71.30	6	N/A
Z179	Repair of lacerations - 10.1 to 15 cm	$50.40	6	N/A
Z190	Repair of lacerations - 10.1 to 15 cm if on face and/or requires tying of bleeders and/or closure in layers	$101.45	6	N/A
Z191	Repair of lacerations - more than 15.1 cm other than face	$77.30	6	N/A
Z192	Repair of lacerations - more than 15.1 cm on face	$154.95	7	N/A
	E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add	$0.00	N/A	N/A
	E530 - Repair of lacerations if inhalation general anaesthesia (other than 50% N2O/O2 mixture) is used, when suture of laceration is sole procedure . . . Add	$50.40	N/A	N/A
	E531 - Repair of lacerations if extensive debridement is required . . . Add	$0.00	N/A	N/A
R024	Repair of lacerations - Acute laceration earlobe, unilateral	$100.65	N/A	N/A
UVC	Repair of lacerations - Removal of sutures only	$0.00	N/A	N/A
	E208 - Peritomy (Gunderson conjunctival flap)	$225.00	6	N/A
Z187	Complex laceration repair, face	$92.30	N/A	N/A
Z188	Complex laceration repair, anatomical area other than face, (except digit, zone 1 repair)	$92.30	N/A	N/A
Z189	Complex repair, digit, zone 1 repair, without soft tissue loss, per digit	$92.30	N/A	N/A
R525	Muscle repair - Simple muscle repair(s) to include repair of involved skin	$88.60	7	6
R528	Muscle repair - Complex	$0.00	6	6
	E540 - Malignant melanoma wide excision in any area and must include > 1 cm margins and layered closure if excision is performed in hospital for tumour free margin with frozen section, to excision or repair fees . . . Add 25%	$0.00	N/A	N/A