OHIP Billing Codes

Specialty: Skin And Subcutaneous Tissue

Code	Description	Anes	Asst	Fee
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R002	Advancement flaps - Defect 2.1 to 5 cm - other areas	6	6	68.75
R003	Advancement flaps - Defect 5.1 to 10 cm - other areas	6	6	165
R004	Advancement flaps - Defect more than 10 cm such as thoracic abdominal flap	7	6	247.6
R005	Myocutaneous, myogenous or fascia-cutaneous flaps - Sternomastoid, tensor fascia lata, gluteus maximus, gracilis, sartorius, rectus femoris, gastrocnemius (medial and lateral), trapezius	6	6	555.95
	E523 - same surgeon, to other procedure - add			327.45
R006	Myocutaneous, myogenous or fascia-cutaneous flaps - Pectoralis major	6	6	749.7
	E523 - same surgeon, to other procedure - add			327.45
R008	Myocutaneous, myogenous or fascia-cutaneous flaps - Lower transverse rectus abdominus flap	8	6	1004.35
	E513 - Breast mound creation by soft tissue, includes flap insetting and shaping for autogenous reconstruction - add			303.5
	E514 - Immediate breast reconstruction following mastectomy, to R125, R064, R156, R008 or R155 - add			204
	E523 - same surgeon, to other procedure - add			327.45
R009	Myocutaneous, myogenous or fascia-cutaneous flaps - Myocutaneous osseous flaps e.g. pectoralis major myocutaneous flap with rib graft, trapezius flap with scapula spine	8	6	799.15
	E523 - same surgeon, to other procedure - add			327.45
R010	Malignant melanoma - wide excision in any area and must include > 1 cm margins and layered closure	7	6	126.6
	E540 - if excision is performed in hospital for tumour free margin with frozen section - add 25%
R011	Advancement flaps - Defect 2.1 to 5 cm - face, neck or scalp	6	6	91.65
R012	Advancement flaps - Defect 5.1 to 10 cm - face, neck or scalp	6	6	252.1
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R013	Free jejunum artery and vein for transplantation	10	10	345.65
R014	Preparation of microvascular recipient site for free jejunum artery and vein	10	10	944.45
R015	Transplantation of free jejunum artery and vein with microvascular anastomosis	10	10	944.45
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	10	10	555.9
R017	Scar Revision - Greater than 10 cm - face or neck	7	6	425.45
R018	Face or neck - Curettage, electrodesiccation or cryosurgery - single lesion	6	6	69.95
R019	Face or neck - Curettage, electrodesiccation or cryosurgery - two lesions	7	6	115.15
R020	Face or neck - Curettage, electrodesiccation or cryosurgery - three or more lesions	6	6	230.3
R021	Scar Revision - Up to 2.5 cm - face or neck	6	6	117.9
R022	Scar Revision - 2.6 cm to 5 cm - face or neck	6	6	198.75
R023	Scar Revision - 5.1 cm to 10 cm - face or neck	7	6	283.5
R024	Repair of lacerations - Acute laceration earlobe, unilateral	0		102.65
R026	Scar Revision - Up to 2.5 cm - other areas	6	6	78.9
R027	Scar Revision - 2.6 cm to 5 cm - other areas	6	6	132.7
R028	Scar Revision - 5.1 cm to 10 cm - other areas	6	6	189.35
R029	Scar Revision - Greater than 10 cm - other areas	7	6	294
R030	Minor burns	6	6
R031	Other areas - Curettage, electrodesiccation or cryosurgery - single lesion	6	6	56.15
R032	Other areas - Curettage, electrodesiccation or cryosurgery - two lesions	7	6	92.5
R033	Other areas - Curettage, electrodesiccation or cryosurgery - three or more lesions	6	6	185.2
R034	Group 4 - other lesions - Congenital dermoid cyst adult	6	6	126.9
R035	Group 4 - other lesions - Pilonidal cyst - simple excision or marsupialization	6		204
R036	Group 4 - other lesions - Pilonidal cyst - excision and skin shift	6	6	285.65
R037	Group 4 - other lesions - Giant cell tumour	6	6	204
R038	Moderate burns	10	6
R039	Major burns	15	8
R040	Other areas - Simple excision - two lesions	6	6	97.6
R041	Other areas - Simple excision - three or more lesions	7	6	195.25
	E542 - when performed outside hospital - add			11.8
R042	Group 4 - other lesions - Congenital dermoid cyst adult - midline, e.g. nasal	6	6	278.3
R043	Group 4 - other lesions - Congenital dermoid cyst adult - infant or child	6	6	205.15
R045	Rotations, transpositions, Z-plasties - Defect less than 2 cm average diameter - face, neck or scalp	6	6	207.8
R046	Defect 2.1 to 5 cm average diameter - face, neck or scalp	6	6	341.9
R047	Rotations, transpositions, Z-plasties - Defect 5.1 to 10 cm average diameter - face, neck or scalp	7	6	487.05
R048	Face or neck - Simple excision - single lesion	6	6	94
R049	Face or neck - Simple excision - two lesions	7	6	142
R050	Face or neck - Simple excision - three or more lesions	7	6	237.7
	E542 - when performed outside hospital - add			11.8
R054	Group 4 - other lesions - Pilonidal cyst - simple excision or marsupialization, if patient's BMI greater than 40	6	6	255.05
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	10	10	555.9
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	10	10	617.3
R059	Group 4 - other lesions - Inguinal, perineal or axillary skin and sweat glands for hyperhydrosis and/or hydradenitis - unilateral	6	6	253.8
R060	Inguinal, perineal or axillary skin and sweat glands for hyperhydrosis and/or hydradenitis - with skin graft(s) or rotation flap(s)	7	6	385.5
R061	Neurovascular island transfer - Minor, e.g. finger tip	6	6	143.05
R062	Neurovascular island transfer - Intermediate, e.g. finger to thumb transfer	6	6	264.4
R063	Neurovascular island transfer - Major, e.g. foot to heel	6	6	439.5
R064	Elevation of free island skin and subcutaneous flap and closure of defect	10	10	892.2
	E513 - Breast mound creation by soft tissue, includes flap insetting and shaping for autogenous reconstruction - add			303.5
	E514 - Immediate breast reconstruction following mastectomy, to R125, R064, R156, R008 or R155 - add			204
R065	Preparation of microvascular recipient site for free island skin subcutaneous flap	10	10	944.45
R066	Transplantation of free island skin and subcutaneous flap with microvascular anastomosis(es)	10	10	944.45
R067	Elevation of innervated free island skin and subcutaneous flap and closure of defect	10	10	1048.85
R068	Preparation of microvascular recipient site for innervated free island skin and subcutaneous flap	10	10	1048.85
R069	Transplantation of innervated free island skin and subcutaneous flap with microvascular anastomosis(es) and nerve repair	10	10	980.95
R070	Pedicle flaps - Small/Intermediate, e.g. cross finger, cervical finger	7	6	299.65
	E069 - preparation of a contracted recipient site - add			137.45
R071	Pedicle flaps - Small/Intermediate, e.g. cross finger, cervical finger - each subsequent stage	6	6	227.85
R072	Rotations, transpositions, Z-plasties - Defect less than 2 cm average diameter - other areas	7	6	136.1
R073	Rotations, transpositions, Z-plasties - Defect 5.1 to 10 cm average diameter - other areas	7	6	324.85
R074	Rotations, transpositions, Z-plasties - Defect more than 10 cm average diameter -other areas	7	6	487.45
R075	Rotations, transpositions, Z-plasties - Defect 2.1 to 5 cm average diameter - other areas	6	6	227.85
R076	Rotations, transpositions, Z-plasties - Defect more than 10 cm average diameter - face, neck or scalp	7	6	724.15
R078	Pedicle flaps - Large, e.g. cross leg, deltopectoral, forehead - each subsequent stage	7	6	317.7
R080	Pedicle flaps - Large, e.g. cross leg, deltopectoral, forehead	6	6	424.65
	E069 - preparation of a contracted recipient site - add			137.45
R081	MOHS Micrographic Surgery - Initial cut, including debulking	7	6	321.8
	E524 - one or more additional cuts - add			278.95
R083	Full thickness grafts - Major over 5 cm	7	6	285.8
R084	Split thickness grafts - Very minor, very small areas, e.g. trauma	7		94.15
R085	Split thickness grafts - Minor, medium sized areas, e.g. small or skin ulcer, breast, etc	6	6	143.05
R086	Split thickness grafts - Intermediate, large areas, e.g. trunk, arms, legs	7	6	264.3
R087	Split thickness grafts -Major, complex areas, e.g. face, neck, hands	7	6	395.8
R088	Split thickness grafts -Extensive major, very large area(s)	6	6	579.35
R089	Webbed fingers and toes - Webbed fingers one web space	6	6	408.05
R090	Webbed fingers and toes - Webbed toes one web space	7	6	255.05
R091	Full thickness grafts - Complex eyelid, nose, lip, face	7	6	269.25
R092	Full thickness grafts - Minor less than 1 cm average diameter	7		119
R093	Full thickness grafts - Intermediate 1 cm to 5 cm average diameter	7	6	182.5
R094	Other areas - Simple excision - single lesion	7	6	59.3
R100	Pedicle flaps - Delay, major flap	6	6	297.75
R101	Pedicle flaps - Delay, Small/Intermediate flap	7	6	135.1
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	10	10	555.9
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	10	10	710.4
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	10	10	555.9
R125	Elevation of free island skin and muscle flap and closure of defect	10	10	892.2
	E513 - Breast mound creation by soft tissue, includes flap insetting and shaping for autogenous reconstruction - add			303.5
	E514 - Immediate breast reconstruction following mastectomy, to R125, R064, R156, R008 or R155 - add			204
R126	Preparation of microvascular recipient site for free island skin and muscle flap	10	10	944.45
R127	Transplantation of free island skin and muscle flap with microvascular anastomosis(es)	10	10	892.2
R128	Elevation of free island muscle flap with tendon and nerve, and closure of defect .	10	10	1207.3
R129	Preparation of microvascular recipient site for muscle, tendon and nerve anastomosis(es)	10	10	1207
R130	Transplantation of free island muscle flap with tendon, nerve and microvascular anastomosis(es)	10	10	1207.3
R131	Elevation of free island bone flap and closure of defect	10	10	892.2
R132	Preparation of microvascular recipient site for free island bone flap	10	10	944.45
R133	Transplantation of free island bone flap with microvascular anastomosis(es) and bone fixation	10	10	1048.85
R134	Elevation of free island skin and bone flap and closure of defect	10	10	1069.7
R135	Preparation of microvascular recipient site for free island skin and bone flap	10	10	1069.7
R136	Transplantation of free island skin and bone flap with microvascular anastomosis(es) and bone fixation	10	10	1069.7
R137	Elevation of free toe or finger and closure of defect	10	10	1069.7
R138	Preparation of microvascular recipient site for free toe or finger transplant	10	10	1069.7
R139	Transplantation of free island toe or finger with microvascular anastomosis(es) and tendon nerve and bone repair	10	10	1258.55
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	10	10	629.5
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	10	10	629.5
R150	Plastic Surgery Procedures - Very Minor - The minimum benefit for each would be as follows:	6		94.15
R151	Plastic Surgery Procedures - Minor - The minimum benefit for each would be as follows:	6	6	143.05
R152	Plastic Surgery Procedures - Intermediate - The minimum benefit for each would be as follows:	7	6	264.4
R153	Plastic Surgery Procedures - Major - The minimum benefit for each would be as follows:	7	6	395.8
R154	Plastic Surgery Procedures - Extensive Major - The minimum benefit for each would be as follows:	6	6	580.4
R160	Face or Neck - Simple excision - single lesion	6	6	54.25
R161	Face or Neck - Simple excision - two lesions	6	6	89.15
R162	Face or Neck - Simple excision - three or more lesions	6	6	178.25
	E542 - when performed outside hospital - add			11.8
R163	Other Areas - Simple excision - single lesion	6	6	44.5
R164	Other Areas - Simple excision - two lesions	6	6	73.25
R165	Other Areas - Simple excision - three or more lesions	6	6	146.45
	E542 - when performed outside hospital - add			11.8
R525	Muscle repair - Simple muscle repair(s) to include repair of involved skin	7	6	90.4
R542	Ligaments - extensive ligament reconstruction (including synthetics) includes when rendered preparation of intracondyar notch	7	6	528.25
	E059 - revision/repair following previous reconstruction of knee ligaments - add 30%
R637	Debridement and excision, per % of total body treated other than hand, head or neck	0		30.25
R660	Burn debridement and excision - outside Operating Room - hand each digit	0		29.5
R661	Burn debridement and excision - outside Operating Room - dorsum, palm each	0		48.9
R662	Burn debridement and excision - outside Operating Room - nose, cheek, lip, ear, forehead, scalp, neck, eyelid each	0		29.5
R690	Skin allograft procurement - for banking purposes, per % of total body harvested, other than hand, head or neck	7	7	17.6
R691	Debridement, excision and/or grafting - in Operating Room - Minor burn - Per unit	0		76.5
R692	Debridement, excision and/or grafting - in Operating Room - Moderate burn - Per unit	0		89.25
R693	Debridement, excision and/or grafting - in Operating Room - Major burn - Per Unit	0		102
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	10	6	102
R845	Stasis ulcer - multiple ligation and skin graft per leg	6	6	348.4
R847	Stasis ulcer - with skin graft per leg	7	6	199.8
Z080	Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - one	0		20.4
	E542 - when performed outside hospital - add			11.8
Z081	Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - two	0		30.6
	E542 - when performed outside hospital - add			11.8
Z082	Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - three	0		45.9
	E542 - when performed outside hospital - add			11.8
Z083	Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - four or more	0		61.2
	E542 - when performed outside hospital - add			11.8
Z084	Debridement of wound(s) and/or ulcer(s) extending into any of the following structures: tendon, ligament, bursa and/or bone - one	0		61.2
	E542 - when performed outside hospital - add			11.8
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	0		91.8
	E542 - when performed outside hospital - add			11.8
Z094	Removal tissue expander injection port when sole procedure - general anaesthetic	6	6	76.95
Z095	Removal tissue expander injection port when sole procedure - local anaesthetic	0		38.45
Z096	Group 4 - other lesions - Lipoma 5 to 10 cm	6	6	81.6
Z097	Group 4 - other lesions - Lipoma over 10 cm	6	6	163.2
Z101	Abscess or haematoma - Local anaesthetic - subcutaneous - one	0		26.25
Z102	Abscess or haematoma - General anaesthetic - subcutaneous - one	6		45.25
	E515 - Incision of abscess or hematoma when performed as sole procedure under general anaesthetic in an operating room but not in an emergency department or emergency department equivalent - add 100%
Z103	Abscess or haematoma - Local anaesthetic - subcutaneous - palmar or plantar spaces	0		45.25
	E542 - when performed outside hospital - add			11.8
Z104	Abscess or haematoma - Local anaesthetic - subcutaneous - perianal	0		20.5
Z105	Abscess or haematoma - General anaesthetic - subcutaneous - perianal	6		67.35
	E515 - Incision of abscess or hematoma when performed as sole procedure under general anaesthetic in an operating room but not in an emergency department or emergency department equivalent - add 100%
Z106	Abscess or haematoma - Local anaesthetic - subcutaneous - ischiorectal or pilonida	0		45.25
Z107	Abscess or haematoma - General anaesthetic - subcutaneous - ischiorectal or pilonidal	6		110.15
	E515 - Incision of abscess or hematoma when performed as sole procedure under general anaesthetic in an operating room but not in an emergency department or emergency department equivalent - add 100%
Z108	Abscess or haematoma - General anaesthetic - subcutaneous - palmar or plantar spaces	6		73.45
Z110	Extensive debridement of onychogryphotic nail involving removal of multiple laminae	0		17.8
Z113	Biopsy(ies) - any method, when sutures are not used	0		30.2
Z114	Foreign body removal - local anaesthetic	0		25.75
	E542 - when performed outside hospital - add			11.8
Z115	Foreign body removal - general anaesthetic	6	6	90.6
Z116	Biopsy(ies) - any method, when sutures are used	0		30.2
Z117	Chemical and/or cryotherapy treatment of skin lesions - Chemical and/or cryotherapy treatment, one or more lesions	0		11.9
Z118	Foreign body removal - Aspiration of superficial lump for cytology	0		28.8
Z119	Cryotherapy treatment of at least 5 premalignant actinic keratosis lesions on the same day, not to include freezethaw cycles	0		29.6
Z122	Group 3 - cyst, haemangioma, lipoma - Face or neck Local anaesthetic - single lesion	0		39.25
Z123	Group 3 - cyst, haemangioma, lipoma - Face or neck Local anaesthetic - two lesions	0		69.15
Z124	Group 3 - cyst, haemangioma, lipoma - Face or neck Local anaesthetic - three or more lesions	0		79.55
	E542 - when performed outside hospital - add			11.8
Z125	Group 3 - cyst, haemangioma, lipoma - Other areas - Local anaesthetic - single lesion	0		32.65
Z126	Group 3 - cyst, haemangioma, lipoma - Other areas - Local anaesthetic - two lesions	0		45.9
Z127	Group 3 - cyst, haemangioma, lipoma - Other areas - Local anaesthetic - three or more lesions	0		61.2
	E542 - when performed outside hospital - add			11.8
Z128	Simple, partial or complete, nail plate excision requiring anaesthesia - one	6		33.75
	E542 - when performed outside hospital - add			11.8
Z129	Simple, partial or complete, nail plate excision requiring anaesthesia - multiple	6		36.4
	E542 - when performed outside hospital - add			11.8
Z130	Radical, including destruction of nail bed - one	6		64
Z131	Radical, including destruction of nail bed - multiple	6		84.3
Z132	Insertion of tissue expander	7	6	310.2
	E527 - additional expander, same incision - add			60.15
	E528 - additional expander, different incision - add			263.7
Z137	Percutaneous inflation of first tissue expander	0		23.5
	E541 - each additional expander (to a maximum of 3)			11.8
Z138	Replacement of tissue expander by permanent prosthesis	7		199.8
Z145	Group 3 - cyst, haemangioma, lipoma - Face or neck General anaesthetic - single lesion	6	6	66.65
Z146	Group 3 - cyst, haemangioma, lipoma - Face or neck General anaesthetic - two lesions	6	6	100.55
Z147	Group 3 - cyst, haemangioma, lipoma - Face or neck General anaesthetic - three or more lesions	6	6	165.8
Z149	Group 3 - cyst, haemangioma, lipoma - Other areas General anaesthetic - single lesion	6	6	51
Z150	Group 3 - cyst, haemangioma, lipoma - Other areas General anaesthetic - two lesions	6	6	66.85
Z151	Group 3 - cyst, haemangioma, lipoma - Other areas General anaesthetic - three or more lesions	6	6	100.55
Z154	Repair of lacerations - up to 5 cm if on face and/or requires tying of bleeders and/or closure in layers	6		36.6
	E530 - if inhalation general anaesthesia (other than 50% N2O/O2 mixture) is used, when suture of laceration is sole procedure - add

Z156	Group 1 - e.g. keratosis, pyogenic granuloma - Removal by excision and suture - single lesion	6		20.4
Z157	Group 1 - e.g. keratosis, pyogenic granuloma - Removal by excision and suture - two lesions	6		27.05
Z158	Group 1 - e.g. keratosis, pyogenic granuloma - Removal by excision and suture - three or more lesions	6		45.15
Z159	Group 1 - e.g. keratosis, pyogenic granuloma - Removal by electrocoagulation and/or curetting - single lesion	6		10.75
Z160	Group 1 - e.g. keratosis, pyogenic granuloma - Removal by electrocoagulation and/or curetting - two lesions	6		16.15
Z161	Group 1 - e.g. keratosis, pyogenic granuloma - Removal by electrocoagulation and/or curetting - three or more lesions	6		26.75
Z162	Group 2 - nevus - Removal by excision and suture - single lesion	6		20.4
Z163	Group 2 - nevus - Removal by excision and suture - two lesions	6		27.05
Z164	Group 2 - nevus - Removal by excision and suture - three or more lesions	6		45.15
	E542 - when performed outside hospital - add			11.8
Z172	Abscess or haematoma - General anaesthetic - subcutaneous - two or more	7		67.95
	E515 - Incision of abscess or hematoma when performed as sole procedure under general anaesthetic in an operating room but not in an emergency department or emergency department equivalent - add 100%
Z173	Abscess or haematoma - Local anaesthetic - subcutaneous - two	0		30.95
Z174	Abscess or haematoma - Local anaesthetic - subcutaneous - three or more	0		41.6
Z175	Repair of lacerations - 5.1 to 10 cm	6		36.6
	E530 - if inhalation general anaesthesia (other than 50% N2O/O2 mixture) is used, when suture of laceration is sole procedure - add

Z176	Repair of lacerations - up to 5 cm	6		20.4
	E530 - if inhalation general anaesthesia (other than 50% N2O/O2 mixture) is used, when suture of laceration is sole procedure - add

Z177	Repair of lacerations - 5.1 to 10 cm if on face and/or requires tying of bleeders and/or closure in layers	6		72.75
	E530 - if inhalation general anaesthesia (other than 50% N2O/O2 mixture) is used, when suture of laceration is sole procedure - add

Z179	Repair of lacerations - 10.1 to 15 cm	6		51.4
	E530 - if inhalation general anaesthesia (other than 50% N2O/O2 mixture) is used, when suture of laceration is sole procedure - add

Z180	Resuscitation - Major Burn, Initial Care - first day	0		108.4
Z181	Resuscitation - Major Burn, Initial Care - continuing care, 2nd to 4th day inclusive, per day	0		54.15
Z187	Complex laceration repair, face	0		94.15
Z188	Complex laceration repair, anatomical area other than face, (except digit, zone 1 repair)	0		94.15
Z189	Complex repair, digit, zone 1 repair, without soft tissue loss, per digit	0		94.15
Z190	Repair of lacerations - 10.1 to 15 cm if on face and/or requires tying of bleeders and/or closure in layers	6		103.5
	E530 - if inhalation general anaesthesia (other than 50% N2O/O2 mixture) is used, when suture of laceration is sole procedure - add

Z191	Repair of lacerations - more than 15.1 cm other than face	6		78.85
	E530 - if inhalation general anaesthesia (other than 50% N2O/O2 mixture) is used, when suture of laceration is sole procedure - add

Z192	Repair of lacerations - more than 15.1 cm on face	7		158.05
	E530 - if inhalation general anaesthesia (other than 50% N2O/O2 mixture) is used, when suture of laceration is sole procedure - add

Z196	Myocutaneous, myogenous or fascia-cutaneous flaps - Repair of abdominal defect - different surgeon	0		385.25
Z227	Foreign body removal - Intramuscular abscess or haematoma	6		103.7
Z245	Biopsy for malignant hyperthermia, three or more	10		155.9

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