OHIP Billing Codes

Specialty: Operations Of The Breast

Code Description Fee
R107 Tumour or tissue for diagnostic biopsy and/or treatment, e.g. carcinoma, fibroadenoma or fibrocystic disease (single or multiple same breast) 173.35
R108 Mastectomy - female (with or without biopsy) - simple 336.65
R109 Mastectomy, radical or modified radical (with or without biopsy) 698.75
R110 Reduction mammoplasty and augmentation mammoplasty (other than post-mastectomy breast reconstruction) - Reduction mammoplasty (female, to include nipple transplantation or grafting, if rendered) unilateral 481.65
R111 Partial mastectomy or wedge resection for treatment of breast disease, with or without biopsy, e.g. carcinoma or extensive fibrocystic disease 274.8
R112 Augmentation mammoplasty unilateral 357.05
R114 Revision of breast mound 234.95
R117 Mastectomy - female (with or without biopsy) - subcutaneous with nipple preservation 279.45
R118 Breast skin reconstruction by local flaps or grafts, includes Wise pattern skin flaps and deepithelialized skin flaps 413.75
R119 Post-mastectomy breast reconstruction - Breast mound creation by prosthesis as sole procedure 357.05

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R120 Nippleareola reconstruction by grafts and/or flaps 306.05
R142 Nippleareola tattooing unilateral 178.5
R143 Contralateral balancing mastopexy or reduction, to include nipple transplantation or grafting, if rendered 481.65
R144 Contralateral balancing augmentation mammoplasty 357.05
R146 Mastectomy - male (benign) - simple 181.05
R147 Mastectomy - male (benign) - subcutaneous with nipple preservation 279.45
R148 Mastectomy - male - Unilateral for treatment of pathological male breast disease (with or without biopsy), e.g. carcinoma - simple 279.45
R149 Mastectomy - male - Unilateral for treatment of pathological male breast disease (with or without biopsy), e.g. carcinoma - subcutaneous with nipple preservation 279.45
R156 Breast mound creation by insertion of tissue expander, includes creation of submuscular pocket 433.55
R505 Ankle - Metatarsal/phalangeal 147.7
Z135 Open capsulotomy with or without replacement of breast prosthesis 199.9
Z139 Aspiration of cyst - one or more 37.95
Z140 Drainage of intramammary abscess or haematoma - Single or multiloculated local anaesthetic 33.65
Z141 Needle biopsy - one or more 37.95
Z142 Removal of breast prosthesis 153
Z143 Needle biopsy - large core breast biopsy (14 gauge or larger bore needle) 135.4
Z182 Breast capsulectomy 260.2
Z740 Drainage of intramammary abscess or haematoma - Single or multiloculated generalanaesthetic 136.5

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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