OHIP Billing Codes

Specialty: Skin And Subcutaneous Tissue

Code Description Fee
R002 Advancement flaps - Defect 2.1 to 5 cm - other areas 67.4
R003 Advancement flaps - Defect 5.1 to 10 cm - other areas 161.75
R004 Advancement flaps - Defect more than 10 cm such as thoracic abdominal flap 242.7
R005 Myocutaneous, myogenous or fascia-cutaneous flaps - Sternomastoid, tensor fascia lata, gluteus maximus, gracilis, sartorius, rectus femoris, gastrocnemius (medial and lateral), trapezius 545
R006 Myocutaneous, myogenous or fascia-cutaneous flaps - Pectoralis major 734.95
R008 Myocutaneous, myogenous or fascia-cutaneous flaps - Lower transverse rectus abdominus flap 984.55
R009 Myocutaneous, myogenous or fascia-cutaneous flaps - Myocutaneous osseous flaps e.g. pectoralis major myocutaneous flap with rib graft, trapezius flap with scapula spine 783.4
R010 Malignant melanoma - wide excision in any area and must include > 1 cm margins and layered closure 124.1
R011 Advancement flaps - Defect 2.1 to 5 cm - face, neck or scalp 89.85
R012 Advancement flaps - Defect 5.1 to 10 cm - face, neck or scalp 247.15

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R013 Free jejunum artery and vein for transplantation 338.85
R014 Preparation of microvascular recipient site for free jejunum artery and vein 925.85
R015 Transplantation of free jejunum artery and vein with microvascular anastomosis 925.85
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
R017 Scar Revision - Greater than 10 cm - face or neck 417.05
R018 Face or neck - Curettage, electrodesiccation or cryosurgery - single lesion 68.55
R019 Face or neck - Curettage, electrodesiccation or cryosurgery - two lesions 112.9
R020 Face or neck - Curettage, electrodesiccation or cryosurgery - three or more lesions 225.75
R021 Scar Revision - Up to 2.5 cm - face or neck 115.6
R022 Scar Revision - 2.6 cm to 5 cm - face or neck 194.85
R023 Scar Revision - 5.1 cm to 10 cm - face or neck 277.9
R024 Repair of lacerations - Acute laceration earlobe, unilateral 100.65
R026 Scar Revision - Up to 2.5 cm - other areas 77.35
R027 Scar Revision - 2.6 cm to 5 cm - other areas 130.1
R028 Scar Revision - 5.1 cm to 10 cm - other areas 185.6
R029 Scar Revision - Greater than 10 cm - other areas 288.2
R030 Minor burns
R031 Other areas - Curettage, electrodesiccation or cryosurgery - single lesion 55.05
R032 Other areas - Curettage, electrodesiccation or cryosurgery - two lesions 90.7
R033 Other areas - Curettage, electrodesiccation or cryosurgery - three or more lesions 181.55
R034 Group 4 - other lesions - Congenital dermoid cyst adult 124.4
R035 Group 4 - other lesions - Pilonidal cyst - simple excision or marsupialization 200
R036 Group 4 - other lesions - Pilonidal cyst - excision and skin shift 280
R037 Group 4 - other lesions - Giant cell tumour 200
R038 Moderate burns
R039 Major burns
R040 Other areas - Simple excision - two lesions 95.7
R041 Other areas - Simple excision - three or more lesions 191.4
R042 Group 4 - other lesions - Congenital dermoid cyst adult - midline, e.g. nasal 272.8
R043 Group 4 - other lesions - Congenital dermoid cyst adult - infant or child 201.1
R045 Rotations, transpositions, Z-plasties - Defect less than 2 cm average diameter - face, neck or scalp 203.7
R046 Defect 2.1 to 5 cm average diameter - face, neck or scalp 335.15
R047 Rotations, transpositions, Z-plasties - Defect 5.1 to 10 cm average diameter - face, neck or scalp 477.45
R048 Face or neck - Simple excision - single lesion 92.15
R049 Face or neck - Simple excision - two lesions 139.2
R050 Face or neck - Simple excision - three or more lesions 233
R054 Group 4 - other lesions - Pilonidal cyst - simple excision or marsupialization, if patient's BMI greater than 40 250
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
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
R059 Group 4 - other lesions - Inguinal, perineal or axillary skin and sweat glands for hyperhydrosis and/or hydradenitis - unilateral 248.8
R060 Inguinal, perineal or axillary skin and sweat glands for hyperhydrosis and/or hydradenitis - with skin graft(s) or rotation flap(s) 377.9
R061 Neurovascular island transfer - Minor, e.g. finger tip 140.25
R062 Neurovascular island transfer - Intermediate, e.g. finger to thumb transfer 259.2
R063 Neurovascular island transfer - Major, e.g. foot to heel 430.85
R064 Elevation of free island skin and subcutaneous flap and closure of defect 874.6
R065 Preparation of microvascular recipient site for free island skin subcutaneous flap 925.85
R066 Transplantation of free island skin and subcutaneous flap with microvascular anastomosis(es) 925.85
R067 Elevation of innervated free island skin and subcutaneous flap and closure of defect 1028.2
R068 Preparation of microvascular recipient site for innervated free island skin and subcutaneous flap 1028.2
R069 Transplantation of innervated free island skin and subcutaneous flap with microvascular anastomosis(es) and nerve repair 961.6
R070 Pedicle flaps - Small/Intermediate, e.g. cross finger, cervical finger 293.75
R071 Pedicle flaps - Small/Intermediate, e.g. cross finger, cervical finger - each subsequent stage 223.35
R072 Rotations, transpositions, Z-plasties - Defect less than 2 cm average diameter - other areas 133.4
R073 Rotations, transpositions, Z-plasties - Defect 5.1 to 10 cm average diameter - other areas 318.45
R074 Rotations, transpositions, Z-plasties - Defect more than 10 cm average diameter -other areas 477.85
R075 Rotations, transpositions, Z-plasties - Defect 2.1 to 5 cm average diameter - other areas 223.35
R076 Rotations, transpositions, Z-plasties - Defect more than 10 cm average diameter - face, neck or scalp 709.9
R078 Pedicle flaps - Large, e.g. cross leg, deltopectoral, forehead - each subsequent stage 311.45
R080 Pedicle flaps - Large, e.g. cross leg, deltopectoral, forehead 416.3
R081 MOHS Micrographic Surgery - Initial cut, including debulking 315.45
R083 Full thickness grafts - Major over 5 cm 280.15
R084 Split thickness grafts - Very minor, very small areas, e.g. trauma 92.3
R085 Split thickness grafts - Minor, medium sized areas, e.g. small or skin ulcer, breast, etc 140.25
R086 Split thickness grafts - Intermediate, large areas, e.g. trunk, arms, legs 259.1
R087 Split thickness grafts -Major, complex areas, e.g. face, neck, hands 388
R088 Split thickness grafts -Extensive major, very large area(s) 567.95
R089 Webbed fingers and toes - Webbed fingers one web space 400
R090 Webbed fingers and toes - Webbed toes one web space 250
R091 Full thickness grafts - Complex eyelid, nose, lip, face 263.95
R092 Full thickness grafts - Minor less than 1 cm average diameter 116.65
R093 Full thickness grafts - Intermediate 1 cm to 5 cm average diameter 178.9
R094 Other areas - Simple excision - single lesion 58.15
R100 Pedicle flaps - Delay, major flap 291.9
R101 Pedicle flaps - Delay, Small/Intermediate flap 132.45
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
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 696.4
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 544.95
R125 Elevation of free island skin and muscle flap and closure of defect 874.6
R126 Preparation of microvascular recipient site for free island skin and muscle flap 925.85
R127 Transplantation of free island skin and muscle flap with microvascular anastomosis(es) 874.6
R128 Elevation of free island muscle flap with tendon and nerve, and closure of defect . 1183.5
R129 Preparation of microvascular recipient site for muscle, tendon and nerve anastomosis(es) 1183.2
R130 Transplantation of free island muscle flap with tendon, nerve and microvascular anastomosis(es) 1183.5
R131 Elevation of free island bone flap and closure of defect 874.6
R132 Preparation of microvascular recipient site for free island bone flap 925.85
R133 Transplantation of free island bone flap with microvascular anastomosis(es) and bone fixation 1028.2
R134 Elevation of free island skin and bone flap and closure of defect 1048.6
R135 Preparation of microvascular recipient site for free island skin and bone flap 1048.6
R136 Transplantation of free island skin and bone flap with microvascular anastomosis(es) and bone fixation 1048.6
R137 Elevation of free toe or finger and closure of defect 1048.6
R138 Preparation of microvascular recipient site for free toe or finger transplant 1048.6
R139 Transplantation of free island toe or finger with microvascular anastomosis(es) and tendon nerve and bone repair 1233.75
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 617.1
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 617.1
R150 Plastic Surgery Procedures - Very Minor - The minimum benefit for each would be as follows: 92.3
R151 Plastic Surgery Procedures - Minor - The minimum benefit for each would be as follows: 140.25
R152 Plastic Surgery Procedures - Intermediate - The minimum benefit for each would be as follows: 259.2
R153 Plastic Surgery Procedures - Major - The minimum benefit for each would be as follows: 388
R154 Plastic Surgery Procedures - Extensive Major - The minimum benefit for each would be as follows: 568.95
R160 Face or Neck - Simple excision - single lesion 53.2
R161 Face or Neck - Simple excision - two lesions 87.4
R162 Face or Neck - Simple excision - three or more lesions 174.75
R163 Other Areas - Simple excision - single lesion 43.6
R164 Other Areas - Simple excision - two lesions 71.8
R165 Other Areas - Simple excision - three or more lesions 143.55
R525 Muscle repair - Simple muscle repair(s) to include repair of involved skin 88.6
R542 Ligaments - extensive ligament reconstruction (including synthetics) includes when rendered preparation of intracondyar notch 517.85
R637 Debridement and excision, per % of total body treated other than hand, head or neck 29.65
R660 Burn debridement and excision - outside Operating Room - hand each digit 28.9
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 28.9
R690 Skin allograft procurement - for banking purposes, per % of total body harvested, other than hand, head or neck 17.25
R691 Debridement, excision and/or grafting - in Operating Room - Minor burn - Per unit 75
R692 Debridement, excision and/or grafting - in Operating Room - Moderate burn - Per unit 87.5
R693 Debridement, excision and/or grafting - in Operating Room - Major burn - Per Unit 100
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
R845 Stasis ulcer - multiple ligation and skin graft per leg 341.55
R847 Stasis ulcer - with skin graft per leg 195.85
Z080 Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - one 20
Z081 Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - two 30
Z082 Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - three 45
Z083 Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - four or more 60
Z084 Debridement of wound(s) and/or ulcer(s) extending into any of the following structures: tendon, ligament, bursa and/or bone - one 60
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
Z094 Removal tissue expander injection port when sole procedure - general anaesthetic 75.45
Z095 Removal tissue expander injection port when sole procedure - local anaesthetic 37.7
Z096 Group 4 - other lesions - Lipoma 5 to 10 cm 80
Z097 Group 4 - other lesions - Lipoma over 10 cm 160
Z101 Abscess or haematoma - Local anaesthetic - subcutaneous - one 25.75
Z102 Abscess or haematoma - General anaesthetic - subcutaneous - one 44.35
Z103 Abscess or haematoma - Local anaesthetic - subcutaneous - palmar or plantar spaces 44.35
Z104 Abscess or haematoma - Local anaesthetic - subcutaneous - perianal 20.1
Z105 Abscess or haematoma - General anaesthetic - subcutaneous - perianal 66
Z106 Abscess or haematoma - Local anaesthetic - subcutaneous - ischiorectal or pilonida 44.35
Z107 Abscess or haematoma - General anaesthetic - subcutaneous - ischiorectal or pilonidal 108
Z108 Abscess or haematoma - General anaesthetic - subcutaneous - palmar or plantar spaces 72
Z110 Extensive debridement of onychogryphotic nail involving removal of multiple laminae 17.45
Z113 Biopsy(ies) - any method, when sutures are not used 29.6
Z114 Foreign body removal - local anaesthetic 25.25
Z115 Foreign body removal - general anaesthetic 88.8
Z116 Biopsy(ies) - any method, when sutures are used 29.6
Z117 Chemical and/or cryotherapy treatment of skin lesions - Chemical and/or cryotherapy treatment, one or more lesions 11.65
Z118 Foreign body removal - Aspiration of superficial lump for cytology 28.25
Z119 Cryotherapy treatment of at least 5 premalignant actinic keratosis lesions on the same day, not to include freezethaw cycles 29
Z122 Group 3 - cyst, haemangioma, lipoma - Face or neck Local anaesthetic - single lesion 38.5
Z123 Group 3 - cyst, haemangioma, lipoma - Face or neck Local anaesthetic - two lesions 67.8
Z124 Group 3 - cyst, haemangioma, lipoma - Face or neck Local anaesthetic - three or more lesions 78
Z125 Group 3 - cyst, haemangioma, lipoma - Other areas - Local anaesthetic - single lesion 32
Z126 Group 3 - cyst, haemangioma, lipoma - Other areas - Local anaesthetic - two lesions 45
Z127 Group 3 - cyst, haemangioma, lipoma - Other areas - Local anaesthetic - three or more lesions 60
Z128 Simple, partial or complete, nail plate excision requiring anaesthesia - one 33.1
Z129 Simple, partial or complete, nail plate excision requiring anaesthesia - multiple 35.7
Z130 Radical, including destruction of nail bed - one 62.75
Z131 Radical, including destruction of nail bed - multiple 82.65
Z132 Insertion of tissue expander 304.1
Z137 Percutaneous inflation of first tissue expander 23.05
Z138 Replacement of tissue expander by permanent prosthesis 195.85
Z145 Group 3 - cyst, haemangioma, lipoma - Face or neck General anaesthetic - single lesion 65.35
Z146 Group 3 - cyst, haemangioma, lipoma - Face or neck General anaesthetic - two lesions 98.55
Z147 Group 3 - cyst, haemangioma, lipoma - Face or neck General anaesthetic - three or more lesions 162.55
Z149 Group 3 - cyst, haemangioma, lipoma - Other areas General anaesthetic - single lesion 50
Z150 Group 3 - cyst, haemangioma, lipoma - Other areas General anaesthetic - two lesions 65.55
Z151 Group 3 - cyst, haemangioma, lipoma - Other areas General anaesthetic - three or more lesions 98.55
Z154 Repair of lacerations - up to 5 cm if on face and/or requires tying of bleeders and/or closure in layers 35.9
Z156 Group 1 - e.g. keratosis, pyogenic granuloma - Removal by excision and suture - single lesion 20
Z157 Group 1 - e.g. keratosis, pyogenic granuloma - Removal by excision and suture - two lesions 26.5
Z158 Group 1 - e.g. keratosis, pyogenic granuloma - Removal by excision and suture - three or more lesions 44.25
Z159 Group 1 - e.g. keratosis, pyogenic granuloma - Removal by electrocoagulation and/or curetting - single lesion 10.55
Z160 Group 1 - e.g. keratosis, pyogenic granuloma - Removal by electrocoagulation and/or curetting - two lesions 15.85
Z161 Group 1 - e.g. keratosis, pyogenic granuloma - Removal by electrocoagulation and/or curetting - three or more lesions 26.2
Z162 Group 2 - nevus - Removal by excision and suture - single lesion 20
Z163 Group 2 - nevus - Removal by excision and suture - two lesions 26.5
Z164 Group 2 - nevus - Removal by excision and suture - three or more lesions 44.25
Z172 Abscess or haematoma - General anaesthetic - subcutaneous - two or more 66.6
Z173 Abscess or haematoma - Local anaesthetic - subcutaneous - two 30.35
Z174 Abscess or haematoma - Local anaesthetic - subcutaneous - three or more 40.8
Z175 Repair of lacerations - 5.1 to 10 cm 35.9
Z176 Repair of lacerations - up to 5 cm 20
Z177 Repair of lacerations - 5.1 to 10 cm if on face and/or requires tying of bleeders and/or closure in layers 71.3
Z179 Repair of lacerations - 10.1 to 15 cm 50.4
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 53.1
Z187 Complex laceration repair, face 92.3
Z188 Complex laceration repair, anatomical area other than face, (except digit, zone 1 repair) 92.3
Z189 Complex repair, digit, zone 1 repair, without soft tissue loss, per digit 92.3
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
Z191 Repair of lacerations - more than 15.1 cm other than face 77.3
Z192 Repair of lacerations - more than 15.1 cm on face 154.95
Z196 Myocutaneous, myogenous or fascia-cutaneous flaps - Repair of abdominal defect - different surgeon 377.65
Z227 Foreign body removal - Intramuscular abscess or haematoma 101.65
Z245 Biopsy for malignant hyperthermia, three or more 152.85

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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