OHIP Billing Codes

Specialty: Integumentary System Surgical Procedures

Category: Skin And Subcutaneous Tissue

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Code Description Fee

Burns

R661 Burn debridement and excision - outside Operating Room - dorsum, palm each $47.95
R660 Burn debridement and excision - outside Operating Room - hand each digit $28.90
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
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
R693 Debridement, excision and/or grafting - in Operating Room - Major burn - Per Unit $100.00
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
R039 Major burns
R030 Minor burns

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R038 Moderate burns
Z181 Resuscitation - Major Burn, Initial Care - continuing care, 2nd to 4th day inclusive, per day $53.10
Z180 Resuscitation - Major Burn, Initial Care - first day $106.25
R690 Skin allograft procurement - for banking purposes, per % of total body harvested, other than hand, head or neck $17.25

Complete Study - 1 and 2 dimensions

G571 Professional component $96.20
G570 Technical component $118.95

COVID-19 Immunization

G593 COVID-19 vaccine $13.00

Excision of Pre-Malignant Lesions Including Biopsy of Each Lesion Single or Multiple Sites

Z119 Cryotherapy treatment of at least 5 premalignant actinic keratosis lesions on the same day, not to include freezethaw cycles $29.00
R160 Face or Neck - Simple excision - single lesion $53.20
R162 Face or Neck - Simple excision - three or more lesions $174.75
R161 Face or Neck - Simple excision - two lesions $87.40
R163 Other Areas - Simple excision - single lesion $43.60
R165 Other Areas - Simple excision - three or more lesions $143.55
R164 Other Areas - Simple excision - two lesions $71.80

Excision (With or Without Biopsy)

Z159 Group 1 - e.g. keratosis, pyogenic granuloma - Removal by electrocoagulation and/or curetting - single lesion $10.55
Z161 Group 1 - e.g. keratosis, pyogenic granuloma - Removal by electrocoagulation and/or curetting - three or more lesions $26.20
Z160 Group 1 - e.g. keratosis, pyogenic granuloma - Removal by electrocoagulation and/or curetting - two lesions $15.85
Z156 Group 1 - e.g. keratosis, pyogenic granuloma - Removal by excision and suture - single lesion $20.00
Z158 Group 1 - e.g. keratosis, pyogenic granuloma - Removal by excision and suture - three or more lesions $44.25
Z157 Group 1 - e.g. keratosis, pyogenic granuloma - Removal by excision and suture - two lesions $26.50
Z162 Group 2 - nevus - Removal by excision and suture - single lesion $20.00
Z164 Group 2 - nevus - Removal by excision and suture - three or more lesions $44.25
Z163 Group 2 - nevus - Removal by excision and suture - two lesions $26.50
Z145 Group 3 - cyst, haemangioma, lipoma - Face or neck General anaesthetic - single lesion $65.35
Z147 Group 3 - cyst, haemangioma, lipoma - Face or neck General anaesthetic - three or more lesions $162.55
Z146 Group 3 - cyst, haemangioma, lipoma - Face or neck General anaesthetic - two lesions $98.55
Z122 Group 3 - cyst, haemangioma, lipoma - Face or neck Local anaesthetic - single lesion $38.50
Z124 Group 3 - cyst, haemangioma, lipoma - Face or neck Local anaesthetic - three or more lesions $78.00
Z123 Group 3 - cyst, haemangioma, lipoma - Face or neck Local anaesthetic - two lesions $67.80
Z125 Group 3 - cyst, haemangioma, lipoma - Other areas - Local anaesthetic - single lesion $32.00
Z127 Group 3 - cyst, haemangioma, lipoma - Other areas - Local anaesthetic - three or more lesions $60.00
Z126 Group 3 - cyst, haemangioma, lipoma - Other areas - Local anaesthetic - two lesions $45.00
Z149 Group 3 - cyst, haemangioma, lipoma - Other areas General anaesthetic - single lesion $50.00
Z151 Group 3 - cyst, haemangioma, lipoma - Other areas General anaesthetic - three or more lesions $98.55
Z150 Group 3 - cyst, haemangioma, lipoma - Other areas General anaesthetic - two lesions $65.55
R034 Group 4 - other lesions - Congenital dermoid cyst adult $124.40
R043 Group 4 - other lesions - Congenital dermoid cyst adult - infant or child $201.10
R042 Group 4 - other lesions - Congenital dermoid cyst adult - midline, e.g. nasal $272.80
R037 Group 4 - other lesions - Giant cell tumour $200.00
R059 Group 4 - other lesions - Inguinal, perineal or axillary skin and sweat glands for hyperhydrosis and/or hydradenitis - unilateral $248.80
Z096 Group 4 - other lesions - Lipoma 5 to 10 cm $80.00
Z097 Group 4 - other lesions - Lipoma over 10 cm $160.00
R036 Group 4 - other lesions - Pilonidal cyst - excision and skin shift $280.00
R035 Group 4 - other lesions - Pilonidal cyst - simple excision or marsupialization $200.00
R054 Group 4 - other lesions - Pilonidal cyst - simple excision or marsupialization, if patient's BMI greater than 40 $250.00
R060 Inguinal, perineal or axillary skin and sweat glands for hyperhydrosis and/or hydradenitis - with skin graft(s) or rotation flap(s) $377.90

Finger or Toe-Nail

Z110 Extensive debridement of onychogryphotic nail involving removal of multiple laminae $17.45
Z131 Radical, including destruction of nail bed - multiple $82.65
Z130 Radical, including destruction of nail bed - one $62.75
R022 Scar Revision - 2.6 cm to 5 cm - face or neck $194.85
R027 Scar Revision - 2.6 cm to 5 cm - other areas $130.10
R023 Scar Revision - 5.1 cm to 10 cm - face or neck $277.90
R028 Scar Revision - 5.1 cm to 10 cm - other areas $185.60
R017 Scar Revision - Greater than 10 cm - face or neck $417.05
R029 Scar Revision - Greater than 10 cm - other areas $288.20
R021 Scar Revision - Up to 2.5 cm - face or neck $115.60
R026 Scar Revision - Up to 2.5 cm - other areas $77.35
Z129 Simple, partial or complete, nail plate excision requiring anaesthesia - multiple $35.70
Z128 Simple, partial or complete, nail plate excision requiring anaesthesia - one $33.10
R089 Webbed fingers and toes - Webbed fingers one web space $400.00
R090 Webbed fingers and toes - Webbed toes one web space $250.00

Free Island Flaps

R131 Elevation of free island bone flap and closure of defect $874.60
R128 Elevation of free island muscle flap with tendon and nerve, and closure of defect . $1,183.50
R134 Elevation of free island skin and bone flap and closure of defect $1,048.60
R125 Elevation of free island skin and muscle flap and closure of defect $874.60
R064 Elevation of free island skin and subcutaneous flap and closure of defect $874.60
R137 Elevation of free toe or finger and closure of defect $1,048.60
R067 Elevation of innervated free island skin and subcutaneous flap and closure of defect $1,028.20
R013 Free jejunum artery and vein for transplantation $338.85
R132 Preparation of microvascular recipient site for free island bone flap $925.85
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
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
R135 Preparation of microvascular recipient site for free island skin and bone flap $1,048.60
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
R126 Preparation of microvascular recipient site for free island skin and muscle flap $925.85
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
R065 Preparation of microvascular recipient site for free island skin subcutaneous flap $925.85
R014 Preparation of microvascular recipient site for free jejunum artery and vein $925.85
R138 Preparation of microvascular recipient site for free toe or finger transplant $1,048.60
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
R068 Preparation of microvascular recipient site for innervated free island skin and subcutaneous flap $1,028.20
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
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
R129 Preparation of microvascular recipient site for muscle, tendon and nerve anastomosis(es) $1,183.20
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
R133 Transplantation of free island bone flap with microvascular anastomosis(es) and bone fixation $1,028.20
R130 Transplantation of free island muscle flap with tendon, nerve and microvascular anastomosis(es) $1,183.50
R136 Transplantation of free island skin and bone flap with microvascular anastomosis(es) and bone fixation $1,048.60
R127 Transplantation of free island skin and muscle flap with microvascular anastomosis(es) $874.60
R066 Transplantation of free island skin and subcutaneous flap with microvascular anastomosis(es) $925.85
R139 Transplantation of free island toe or finger with microvascular anastomosis(es) and tendon nerve and bone repair $1,233.75
R015 Transplantation of free jejunum artery and vein with microvascular anastomosis $925.85
R069 Transplantation of innervated free island skin and subcutaneous flap with microvascular anastomosis(es) and nerve repair $961.60

Incision

Z107 Abscess or haematoma - General anaesthetic - subcutaneous - ischiorectal or pilonidal $108.00
Z102 Abscess or haematoma - General anaesthetic - subcutaneous - one $44.35
Z108 Abscess or haematoma - General anaesthetic - subcutaneous - palmar or plantar spaces $72.00
Z105 Abscess or haematoma - General anaesthetic - subcutaneous - perianal $66.00
Z172 Abscess or haematoma - General anaesthetic - subcutaneous - two or more $66.60
Z106 Abscess or haematoma - Local anaesthetic - subcutaneous - ischiorectal or pilonida $44.35
Z101 Abscess or haematoma - Local anaesthetic - subcutaneous - one $25.75
Z103 Abscess or haematoma - Local anaesthetic - subcutaneous - palmar or plantar spaces $44.35
Z104 Abscess or haematoma - Local anaesthetic - subcutaneous - perianal $20.10
Z174 Abscess or haematoma - Local anaesthetic - subcutaneous - three or more $40.80
Z173 Abscess or haematoma - Local anaesthetic - subcutaneous - two $30.35
Z245 Biopsy for malignant hyperthermia, three or more $152.85
Z113 Biopsy(ies) - any method, when sutures are not used $29.60
Z116 Biopsy(ies) - any method, when sutures are used $29.60
Z118 Foreign body removal - Aspiration of superficial lump for cytology $28.25
Z115 Foreign body removal - general anaesthetic $88.80
Z227 Foreign body removal - Intramuscular abscess or haematoma $101.65
Z114 Foreign body removal - local anaesthetic $25.25

Malignant Lesions Including Biopsy of Each Lesion - Single or Multiple Sites

Z117 Chemical and/or cryotherapy treatment of skin lesions - Chemical and/or cryotherapy treatment, one or more lesions $11.65
R018 Face or neck - Curettage, electrodesiccation or cryosurgery - single lesion $68.55
R020 Face or neck - Curettage, electrodesiccation or cryosurgery - three or more lesions $225.75
R019 Face or neck - Curettage, electrodesiccation or cryosurgery - two lesions $112.90
R048 Face or neck - Simple excision - single lesion $92.15
R050 Face or neck - Simple excision - three or more lesions $233.00
R049 Face or neck - Simple excision - two lesions $139.20
R010 Malignant melanoma - wide excision in any area and must include > 1 cm margins and layered closure $124.10
R031 Other areas - Curettage, electrodesiccation or cryosurgery - single lesion $55.05
R033 Other areas - Curettage, electrodesiccation or cryosurgery - three or more lesions $181.55
R032 Other areas - Curettage, electrodesiccation or cryosurgery - two lesions $90.70
R094 Other areas - Simple excision - single lesion $58.15
R041 Other areas - Simple excision - three or more lesions $191.40
R040 Other areas - Simple excision - two lesions $95.70

Mohs Micrographic Surgery

R081 MOHS Micrographic Surgery - Initial cut, including debulking $315.45

Plastic Surgery Procedures

Z132 Insertion of tissue expander $304.10
Z137 Percutaneous inflation of first tissue expander $23.05
R154 Plastic Surgery Procedures - Extensive Major - The minimum benefit for each would be as follows: $568.95
R152 Plastic Surgery Procedures - Intermediate - The minimum benefit for each would be as follows: $259.20
R153 Plastic Surgery Procedures - Major - The minimum benefit for each would be as follows: $388.00
R151 Plastic Surgery Procedures - Minor - The minimum benefit for each would be as follows: $140.25
R150 Plastic Surgery Procedures - Very Minor - The minimum benefit for each would be as follows: $92.30
Z094 Removal tissue expander injection port when sole procedure - general anaesthetic $75.45
Z095 Removal tissue expander injection port when sole procedure - local anaesthetic $37.70
Z138 Replacement of tissue expander by permanent prosthesis $195.85

Repair of Lacerations

Z188 Complex laceration repair, anatomical area other than face, (except digit, zone 1 repair) $92.30
Z187 Complex laceration repair, face $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
Z179 Repair of lacerations - 10.1 to 15 cm $50.40
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
Z175 Repair of lacerations - 5.1 to 10 cm $35.90
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
R024 Repair of lacerations - Acute laceration earlobe, unilateral $100.65
Z192 Repair of lacerations - more than 15.1 cm on face $154.95
Z191 Repair of lacerations - more than 15.1 cm other than face $77.30
Z176 Repair of lacerations - up to 5 cm $20.00
Z154 Repair of lacerations - up to 5 cm if on face and/or requires tying of bleeders and/or closure in layers $35.90

Skin Flaps

R011 Advancement flaps - Defect 2.1 to 5 cm - face, neck or scalp $89.85
R002 Advancement flaps - Defect 2.1 to 5 cm - other areas $67.40
R012 Advancement flaps - Defect 5.1 to 10 cm - face, neck or scalp $247.15
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 $242.70
R046 Defect 2.1 to 5 cm average diameter - face, neck or scalp $335.15
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 $783.40
R006 Myocutaneous, myogenous or fascia-cutaneous flaps - Pectoralis major $734.95
Z196 Myocutaneous, myogenous or fascia-cutaneous flaps - Repair of abdominal defect - different surgeon $377.65
R005 Myocutaneous, myogenous or fascia-cutaneous flaps - Sternomastoid, tensor fascia lata, gluteus maximus, gracilis, sartorius, rectus femoris, gastrocnemius (medial and lateral), trapezius $545.00
R100 Pedicle flaps - Delay, major flap $291.90
R101 Pedicle flaps - Delay, Small/Intermediate flap $132.45
R080 Pedicle flaps - Large, e.g. cross leg, deltopectoral, forehead $416.30
R078 Pedicle flaps - Large, e.g. cross leg, deltopectoral, forehead - each subsequent stage $311.45
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
R075 Rotations, transpositions, Z-plasties - Defect 2.1 to 5 cm average diameter - other areas $223.35
R047 Rotations, transpositions, Z-plasties - Defect 5.1 to 10 cm average diameter - face, neck or scalp $477.45
R073 Rotations, transpositions, Z-plasties - Defect 5.1 to 10 cm average diameter - other areas $318.45
R045 Rotations, transpositions, Z-plasties - Defect less than 2 cm average diameter - face, neck or scalp $203.70
R072 Rotations, transpositions, Z-plasties - Defect less than 2 cm average diameter - other areas $133.40
R076 Rotations, transpositions, Z-plasties - Defect more than 10 cm average diameter - face, neck or scalp $709.90
R074 Rotations, transpositions, Z-plasties - Defect more than 10 cm average diameter -other areas $477.85

Skin Grafts

R091 Full thickness grafts - Complex eyelid, nose, lip, face $263.95
R093 Full thickness grafts - Intermediate 1 cm to 5 cm average diameter $178.90
R083 Full thickness grafts - Major over 5 cm $280.15
R092 Full thickness grafts - Minor less than 1 cm average diameter $116.65
R062 Neurovascular island transfer - Intermediate, e.g. finger to thumb transfer $259.20
R063 Neurovascular island transfer - Major, e.g. foot to heel $430.85
R061 Neurovascular island transfer - Minor, e.g. finger tip $140.25
R086 Split thickness grafts - Intermediate, large areas, e.g. trunk, arms, legs $259.10
R085 Split thickness grafts - Minor, medium sized areas, e.g. small or skin ulcer, breast, etc $140.25
R084 Split thickness grafts - Very minor, very small areas, e.g. trauma $92.30
R088 Split thickness grafts -Extensive major, very large area(s) $567.95
R087 Split thickness grafts -Major, complex areas, e.g. face, neck, hands $388.00
R845 Stasis ulcer - multiple ligation and skin graft per leg $341.55
R847 Stasis ulcer - with skin graft per leg $195.85

Wound and Ulcer Debridement

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
Z083 Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - four or more $60.00
Z080 Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - one $20.00
Z082 Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - three $45.00
Z081 Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - two $30.00
R542 Ligaments - extensive ligament reconstruction (including synthetics) includes when rendered preparation of intracondyar notch $517.85

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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