These are the most commonly used Integumentary system surgical procedures OHIP billing codes. To find other billing codes search the OHIP fee schedule here .
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z101 | Abscess or haematoma - Local anaesthetic - subcutaneous - one | $25.75 | – | – |
| Z173 | Abscess or haematoma - Local anaesthetic - subcutaneous - two | $30.35 | – | – |
| Z174 | Abscess or haematoma - Local anaesthetic - subcutaneous - three or more | $40.80 | – | – |
| Z104 | Abscess or haematoma - Local anaesthetic - subcutaneous - perianal | $20.10 | – | – |
| Z106 | Abscess or haematoma - Local anaesthetic - subcutaneous - ischiorectal or pilonida | $44.35 | – | – |
| Z103 | Abscess or haematoma - Local anaesthetic - subcutaneous - palmar or plantar spaces | $44.35 | – | – |
| E542 - , when performed outside hospital add | $0.00 | – | – | |
| Z102 | Abscess or haematoma - General anaesthetic - subcutaneous - one | $44.35 | 6 | – |
| Z172 | Abscess or haematoma - General anaesthetic - subcutaneous - two or more | $66.00 | 7 | – |
| Z105 | Abscess or haematoma - General anaesthetic - subcutaneous - perianal | $66.00 | 6 | – |
| Z107 | Abscess or haematoma - General anaesthetic - subcutaneous - ischiorectal or pilonidal | $108.00 | 6 | – |
| Z108 | Abscess or haematoma - General anaesthetic - subcutaneous - palmar or plantar spaces | $72.00 | 6 | – |
| Z114 | Foreign body removal - local anaesthetic | $25.25 | – | – |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add | $0.00 | – | – | |
| 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 | – |
| Z118 | Foreign body removal - Aspiration of superficial lump for cytology | $28.25 | – | – |
| Z116 | Biopsy(ies) - any method, when sutures are used | $29.60 | – | – |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add | $0.00 | – | – | |
| Z113 | Biopsy(ies) - any method, when sutures are not used | $29.60 | – | – |
| Z155 | Biopsy(ies) extensive, complicated or requiring general anaesthetic when sole procedure | $0.00 | – | – |
| Z245 | Biopsy for malignant hyperthermia, three or more | $152.85 | 10 | – |
| Z141 | Needle biopsy - one or more | $37.20 | – | – |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add | $0.00 | – | – | |
| Z143 | Needle biopsy - large core breast biopsy (14 gauge or larger bore needle) | $132.75 | – | – |
| Z139 | Aspiration of cyst - one or more | $37.20 | – | – |
| Z140 | Drainage of intramammary abscess or haematoma - Single or multiloculated local anaesthetic | $33.00 | – | – |
| Z740 | Drainage of intramammary abscess or haematoma - Single or multiloculated general anaesthetic | $75.00 | 6 | – |
| 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 | – | – | |
| 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 | – | – | |
| 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 | – | – | |
| 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 | – | – | |
| 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 | – | – | |
| 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 | – | – | |
| S093 | Enucleation of benign oesophageal tumour | $584.15 | – | – |
| 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 | – |
| 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 | – | – | |
| E528 - additional expander, different incision . . . Add | $258.50 | – | – | |
| 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 | – | – |
| Z137 | Percutaneous inflation of first tissue expander | $23.05 | – | – |
| E541 - each additional expander (to a maximum of 3) | $11.55 | – | – | |
| Z138 | Replacement of tissue expander by permanent prosthesis | $195.85 | 7 | – |
| 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 |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z110 | Extensive debridement of onychogryphotic nail involving removal of multiple laminae | $17.45 | – | – |
| Z128 | Simple, partial or complete, nail plate excision requiring anaesthesia - one | $33.10 | 6 | – |
| Z129 | Simple, partial or complete, nail plate excision requiring anaesthesia - multiple | $35.70 | 6 | – |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add | $0.00 | – | – | |
| Z130 | Radical, including destruction of nail bed - one | $62.75 | 6 | – |
| Z131 | Radical, including destruction of nail bed - multiple | $82.65 | 6 | – |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add | $0.00 | – | – | |
| 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 |
| 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 | – | – |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| R084 | Split thickness grafts - Very minor, very small areas, e.g. trauma | $92.30 | 7 | – |
| 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 | – |
| 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 | – | – |
| R058 | Revision of appendage or tissue revascularization involving microanastomosis with or without micro neuroanastomosis | $0.00 | – | – |
| 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 |
| 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 | – | – | |
| 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 | – | – |
| E523 - Myocutaneous, myogenous or fasciacutaneous flaps Repair of abdominal defect same surgeon, to other procedure . . . Add | $321.00 | – | – | |
| 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 | – | – |
| 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 |
| 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 | – | – |
| Z181 | Resuscitation - Major Burn, Initial Care - continuing care, 2nd to 4th day inclusive, per day | $53.10 | – | – |
| R691 | Debridement, excision and/or grafting - in Operating Room - Minor burn . . . Per unit | $75.00 | – | – |
| R692 | Debridement, excision and/or grafting - in Operating Room - Moderate burn . . . Per unit | $87.50 | – | – |
| R693 | Debridement, excision and/or grafting - in Operating Room - Major burn . . . Per Unit | $100.00 | – | – |
| R660 | Burn debridement and excision - outside Operating Room - hand each digit | $28.90 | – | – |
| R661 | Burn debridement and excision - outside Operating Room - dorsum, palm each | $47.95 | – | – |
| R662 | Burn debridement and excision - outside Operating Room - nose, cheek, lip, ear, forehead, scalp, neck, eyelid each | $28.90 | – | – |
| R637 | Debridement and excision, per % of total body treated other than hand, head or neck | $29.65 | – | – |
| R690 | Skin allograft procurement - for banking purposes, per % of total body harvested, other than hand, head or neck | $17.25 | 7 | 7 |
| Code | Description | Amount |
|---|---|---|
| Z080 | Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - one | $20.00 |
| Z081 | Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - two | $30.00 |
| Z082 | Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - three | $45.00 |
| Z083 | Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - four or more | $60.00 |
| 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 |
| 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 |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add | $0.00 |
| 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 | – | – | |
| 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 | – | – | |
| 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 | – | – | |
| 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 | – | – |
| Z117 | Chemical and/or cryotherapy treatment of skin lesions - Chemical and/or cryotherapy treatment, one or more lesions | $11.65 | – | – |
| 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 | – | – | |
| 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 | – | – | |
| Z119 | Cryotherapy treatment of at least 5 premalignant actinic keratosis lesions on the same day, not to include freezethaw cycles | $29.00 | – | – |
| 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 | – |
| Z158 | Group 1 - e.g. keratosis, pyogenic granuloma - Removal by excision and suture - three or more lesions | $44.25 | 6 | – |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add | $0.00 | – | – | |
| Z159 | Group 1 - e.g. keratosis, pyogenic granuloma - Removal by electrocoagulation and/or curetting - single lesion | $10.55 | 6 | – |
| Z160 | Group 1 - e.g. keratosis, pyogenic granuloma - Removal by electrocoagulation and/or curetting - two lesions | $15.85 | 6 | – |
| Z161 | Group 1 - e.g. keratosis, pyogenic granuloma - Removal by electrocoagulation and/or curetting - three or more lesions | $26.20 | 6 | – |
| 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 | – |
| Z164 | Group 2 - nevus - Removal by excision and suture - three or more lesions | $44.25 | 6 | – |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add | $0.00 | – | – | |
| Z165 | Group 2 - nevus - Congenital (extensive) | $0.00 | – | – |
| Z122 | Group 3 - cyst, haemangioma, lipoma - Face or neck Local anaesthetic - single lesion | $38.50 | – | – |
| Z123 | Group 3 - cyst, haemangioma, lipoma - Face or neck Local anaesthetic - two lesions | $67.80 | – | – |
| Z124 | Group 3 - cyst, haemangioma, lipoma - Face or neck Local anaesthetic - three or more lesions | $78.00 | – | – |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add | $0.00 | – | – | |
| 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 | – | – |
| Z126 | Group 3 - cyst, haemangioma, lipoma - Other areas - Local anaesthetic - two lesions | $45.00 | – | – |
| Z127 | Group 3 - cyst, haemangioma, lipoma - Other areas - Local anaesthetic - three or more lesions | $60.00 | – | – |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add | $0.00 | – | – | |
| 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 | – | – | |
| 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 | – |
| 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 |
| 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 | – | – | |
| 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 | – | – | |
| E514 - immediate breast reconstruction following mastectomy, to R125, R064, R156, R008 or R155 . . . add | $200.00 | – | – | |
| 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 | – | – |
| 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 | – | – | |
| E551 - Autogenous separate incision . . . Add | $86.30 | – | – | |
| E552 - Autogenous same incision . . . Add | $58.45 | – | – |
| 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 | – | – | |
| Z176 | Repair of lacerations - up to 5 cm | $20.00 | 6 | – |
| 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 | – |
| Z175 | Repair of lacerations - 5.1 to 10 cm | $35.90 | 6 | – |
| 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 | – |
| Z179 | Repair of lacerations - 10.1 to 15 cm | $50.40 | 6 | – |
| 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 | – |
| Z191 | Repair of lacerations - more than 15.1 cm other than face | $77.30 | 6 | – |
| Z192 | Repair of lacerations - more than 15.1 cm on face | $154.95 | 7 | – |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add | $0.00 | – | – | |
| 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 | – | – | |
| E531 - Repair of lacerations if extensive debridement is required . . . Add | $0.00 | – | – | |
| R024 | Repair of lacerations - Acute laceration earlobe, unilateral | $100.65 | – | – |
| UVC | Repair of lacerations - Removal of sutures only | $0.00 | – | – |
| E208 - Peritomy (Gunderson conjunctival flap) | $225.00 | 6 | – | |
| Z187 | Complex laceration repair, face | $92.30 | – | – |
| Z188 | Complex laceration repair, anatomical area other than face, (except digit, zone 1 repair) | $92.30 | – | – |
| Z189 | Complex repair, digit, zone 1 repair, without soft tissue loss, per digit | $92.30 | – | – |
| 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 | – | – |