OHIP Billing Codes

Specialty: Skin And Subcutaneous Tissue

Code Description Fee
R002 Advancement flaps Defect 2.1 to 5 cm other areas $68.75
R003 Advancement flaps Defect 5.1 to 10 cm other areas $165.00
R004 Advancement flaps Defect more than 10 cm such as thoracic abdominal flap $247.60
R005 Myocutaneous, myogenous or fasciacutaneous flaps Sternomastoid, tensor fascia lata, gluteus maximus, gracilis, sartorius, rectus femoris, gastrocnemius (medial and lateral), trapezius $555.95
R006 Myocutaneous, myogenous or fasciacutaneous flaps Pectoralis major $749.70
R007 Myocutaneous, myogenous or fasciacutaneous flaps other (see General Preamble GP12) $749.70
R008 Myocutaneous, myogenous or fasciacutaneous flaps Lower transverse rectus abdominus flap $1,004.35
R009 Myocutaneous, myogenous or fasciacutaneous flaps Myocutaneous osseous flaps e.g. pectoralis major myocutaneous flap with rib graft, trapezius flap with scapula spine $799.15
R010 Malignant melanoma wide excision in any area and must include > 1 cm margins and layered closure $126.60
R011 Advancement flaps Defect 2.1 to 5 cm face, neck or scalp $91.65

The Ultimate OHIP Billing Guide

New to billing? Not sure where to start? Our Ultimate Billing Guide outlines every aspect of Ontario billing.

View the guide
R012 Advancement flaps Defect 5.1 to 10 cm face, neck or scalp $252.10
R013 Free jejunum artery and vein for transplantation $345.65
R014 Preparation of microvascular recipient site for free jejunum artery and vein $944.45
R015 Transplantation of free jejunum artery and vein with microvascular anastomosis $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 $555.90
R017 Scar Revision Greater than 10 cm face or neck $425.45
R018 Face or neck Curettage, electrodesiccation or cryosurgery single lesion $69.95
R019 Face or neck Curettage, electrodesiccation or cryosurgery two lesions $115.15
R020 Face or neck Curettage, electrodesiccation or cryosurgery three or more lesions $230.30
R021 Scar Revision Up to 2.5 cm face or neck $117.90
R022 Scar Revision 2.6 cm to 5 cm face or neck $198.75
R023 Scar Revision 5.1 cm to 10 cm face or neck $283.50
R024 Repair of lacerations Acute laceration earlobe, unilateral $102.65
R025 Revision of free island flaps (see General Preamble GP12) $102.65
R026 Scar Revision Up to 2.5 cm other areas $78.90
R027 Scar Revision 2.6 cm to 5 cm other areas $132.70
R028 Scar Revision 5.1 cm to 10 cm other areas $189.35
R029 Scar Revision Greater than 10 cm other areas $294.00
R030 Minor burns
R031 Other areas Curettage, electrodesiccation or cryosurgery single lesion $56.15
R032 Other areas Curettage, electrodesiccation or cryosurgery two lesions $92.50
R033 Other areas Curettage, electrodesiccation or cryosurgery three or more lesions $185.20
R034 Group 4 other lesions Congenital dermoid cyst adult $126.90
R035 Group 4 other lesions Pilonidal cyst simple excision or marsupialization $204.00
R036 Group 4 other lesions Pilonidal cyst excision and skin shift $285.65
R037 Group 4 other lesions Giant cell tumour $204.00
R038 Moderate burns
R039 Major burns
R040 Other areas Simple excision two lesions $97.60
R041 Other areas Simple excision three or more lesions $195.25
R042 Group 4 other lesions Congenital dermoid cyst adult midline, e.g. nasal $278.30
R043 Group 4 other lesions Congenital dermoid cyst adult infant or child $205.15
R045 Rotations, transpositions, Zplasties Defect less than 2 cm average diameter face, neck or scalp $207.80
R047 Rotations, transpositions, Zplasties Defect 5.1 to 10 cm average diameter face, neck or scalp $487.05
R048 Face or neck Simple excision single lesion $94.00
R049 Face or neck Simple excision two lesions $142.00
R050 Face or neck Simple excision three or more lesions $237.70
R051 Other areas Laser surgery on Group 1 4, premalignant and malignant lesions (see General Preamble GP12) $237.70
R054 Group 4 other lesions Pilonidal cyst simple excision or marsupialization, if patient's BMI greater than 40 $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 $555.90
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 $617.30
R057 Full thickness grafts Appendage or tissue revascularization involving microanastomosis with or without micro neuroanastomosis (see General Preamble GP12) $617.30
R058 Full thickness grafts Revision of above (see General Preamble GP12) $617.30
R059 Group 4 other lesions Inguinal, perineal or axillary skin and sweat glands for hyperhydrosis and/or hydradenitis unilateral $253.80
R060 Inguinal, perineal or axillary skin and sweat glands for hyperhydrosis and/or hydradenitis with skin graft(s) or rotation flap(s) $385.50
R061 Neurovascular island transfer Minor, e.g. finger tip $143.05
R062 Neurovascular island transfer Intermediate, e.g. finger to thumb transfer $264.40
R063 Neurovascular island transfer Major, e.g. foot to heel $439.50
R064 Elevation of free island skin and subcutaneous flap and closure of defect $892.20
R065 Preparation of microvascular recipient site for free island skin subcutaneous flap $944.45
R066 Transplantation of free island skin and subcutaneous flap with microvascular anastomosis(es) $944.45
R067 Elevation of innervated free island skin and subcutaneous flap and closure of defect $1,048.85
R068 Preparation of microvascular recipient site for innervated free island skin and subcutaneous flap $1,048.85
R069 Transplantation of innervated free island skin and subcutaneous flap with microvascular anastomosis(es) and nerve repair $980.95
R070 Pedicle flaps Small/Intermediate, e.g. cross finger, cervical finger $299.65
R071 Pedicle flaps Small/Intermediate, e.g. cross finger, cervical finger each subsequent stage $227.85
R072 Rotations, transpositions, Zplasties Defect less than 2 cm average diameter other areas $136.10
R073 Rotations, transpositions, Zplasties Defect 5.1 to 10 cm average diameter other areas $324.85
R074 Rotations, transpositions, Zplasties Defect more than 10 cm average diameter other areas $487.45
R075 Rotations, transpositions, Zplasties Defect 2.1 to 5 cm average diameter other areas $227.85
R076 Rotations, transpositions, Zplasties Defect more than 10 cm average diameter face, neck or scalp $724.15
R078 Pedicle flaps Large, e.g. cross leg, deltopectoral, forehead each subsequent stage $317.70
R080 Pedicle flaps Large, e.g. cross leg, deltopectoral, forehead $424.65
R081 MOHS Micrographic Surgery Initial cut, including debulking $321.80
R083 Full thickness grafts Major over 5 cm $285.80
R084 Split thickness grafts Very minor, very small areas, e.g. trauma $94.15
R085 Split thickness grafts Minor, medium sized areas, e.g. small or skin ulcer, breast, etc $143.05
R086 Split thickness grafts Intermediate, large areas, e.g. trunk, arms, legs $264.30
R087 Split thickness grafts Major, complex areas, e.g. face, neck, hands $395.80
R088 Split thickness grafts Extensive major, very large area(s) $579.35
R089 Webbed fingers and toes Webbed fingers one web space $408.05
R090 Webbed fingers and toes Webbed toes one web space $255.05
R091 Full thickness grafts Complex eyelid, nose, lip, face $269.25
R092 Full thickness grafts Minor less than 1 cm average diameter $119.00
R093 Full thickness grafts Intermediate 1 cm to 5 cm average diameter $182.50
R094 Other areas Simple excision single lesion $59.30
R100 Pedicle flaps Delay, major flap $297.75
R101 Pedicle flaps Delay, Small/Intermediate flap $135.10
R106 Skin flaps and grafts other than listed above (see General Preamble GP12) $658.15
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 $555.90
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 $710.40
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 $555.90
R125 Elevation of free island skin and muscle flap and closure of defect $892.20
R126 Preparation of microvascular recipient site for free island skin and muscle flap $944.45
R127 Transplantation of free island skin and muscle flap with microvascular anastomosis(es) $892.20
R128 Elevation of free island muscle flap with tendon and nerve, and closure of defect . $1,207.30
R129 Preparation of microvascular recipient site for muscle, tendon and nerve anastomosis(es) $1,207.00
R130 Transplantation of free island muscle flap with tendon, nerve and microvascular anastomosis(es) $1,207.30
R131 Elevation of free island bone flap and closure of defect $892.20
R132 Preparation of microvascular recipient site for free island bone flap $944.45
R133 Transplantation of free island bone flap with microvascular anastomosis(es) and bone fixation $1,048.85
R134 Elevation of free island skin and bone flap and closure of defect $1,069.70
R135 Preparation of microvascular recipient site for free island skin and bone flap $1,069.70
R136 Transplantation of free island skin and bone flap with microvascular anastomosis(es) and bone fixation $1,069.70
R137 Elevation of free toe or finger and closure of defect $1,069.70
R138 Preparation of microvascular recipient site for free toe or finger transplant $1,069.70
R139 Transplantation of free island toe or finger with microvascular anastomosis(es) and tendon nerve and bone repair $1,258.55
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 $629.50
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 $629.50
R150 Plastic Surgery Procedures Very Minor The minimum benefit for each would be as follows: $94.15
R151 Plastic Surgery Procedures Minor The minimum benefit for each would be as follows: $143.05
R152 Plastic Surgery Procedures Intermediate The minimum benefit for each would be as follows: $264.40
R153 Plastic Surgery Procedures Major The minimum benefit for each would be as follows: $395.80
R154 Plastic Surgery Procedures Extensive Major The minimum benefit for each would be as follows: $580.40
R160 Face or Neck Simple excision single lesion $54.25
R161 Face or Neck Simple excision two lesions $89.15
R162 Face or Neck Simple excision three or more lesions $178.25
R163 Other Areas Simple excision single lesion $44.50
R164 Other Areas Simple excision two lesions $73.25
R165 Other Areas Simple excision three or more lesions $146.45
R525 Muscle repair Simple muscle repair(s) to include repair of involved skin $90.40
R528 Muscle repair complex (see General Preamble GP12) $443.00
R542 Ligaments extensive ligament reconstruction (including synthetics) includes when rendered preparation of intracondyar notch $528.25
R637 Debridement and excision, per % of total body treated other than hand, head or neck $30.25
R660 Burn debridement and excision outside Operating Room hand each digit $29.50
R661 Burn debridement and excision outside Operating Room dorsum, palm each $48.90
R662 Burn debridement and excision outside Operating Room nose, cheek, lip, ear, forehead, scalp, neck, eyelid each $29.50
R690 Skin allograft procurement for banking purposes, per % of total body harvested, other than hand, head or neck $17.60
R691 Debridement, excision and/or grafting in Operating Room Minor burn Per unit $76.50
R692 Debridement, excision and/or grafting in Operating Room Moderate burn Per unit $89.25
R693 Debridement, excision and/or grafting in Operating Room Major burn Per Unit $102.00
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 $102.00
R845 Stasis ulcer multiple ligation and skin graft per leg $348.40
R847 Stasis ulcer with skin graft per leg $199.80
Z080 Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue one $20.40
Z081 Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue two $30.60
Z082 Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue three $45.90
Z083 Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue four or more $61.20
Z084 Debridement of wound(s) and/or ulcer(s) extending into any of the following structures: tendon, ligament, bursa and/or bone one $61.20
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 $91.80
Z094 Removal tissue expander injection port when sole procedure general anaesthetic $76.95
Z095 Removal tissue expander injection port when sole procedure local anaesthetic $38.45
Z096 Group 4 other lesions Lipoma 5 to 10 cm $81.60
Z097 Group 4 other lesions Lipoma over 10 cm $163.20
Z100 Foreign body removal complicated (see General Preamble GP12) $163.20
Z101 Abscess or haematoma Local anaesthetic subcutaneous one $26.25
Z102 Abscess or haematoma General anaesthetic subcutaneous one $45.25
Z103 Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces $45.25
Z104 Abscess or haematoma Local anaesthetic subcutaneous perianal $20.50
Z105 Abscess or haematoma General anaesthetic subcutaneous perianal $67.35
Z106 Abscess or haematoma Local anaesthetic subcutaneous ischiorectal or pilonida $45.25
Z107 Abscess or haematoma General anaesthetic subcutaneous ischiorectal or pilonidal $110.15
Z108 Abscess or haematoma General anaesthetic subcutaneous palmar or plantar spaces $73.45
Z110 Extensive debridement of onychogryphotic nail involving removal of multiple laminae $17.80
Z113 Biopsy(ies) any method, when sutures are not used $30.20
Z114 Foreign body removal local anaesthetic $25.75
Z115 Foreign body removal general anaesthetic $90.60
Z116 Biopsy(ies) any method, when sutures are used $30.20
Z117 Chemical and/or cryotherapy treatment of skin lesions Chemical and/or cryotherapy treatment, one or more lesions $11.90
Z118 Foreign body removal Aspiration of superficial lump for cytology $28.80
Z119 Cryotherapy treatment of at least 5 premalignant actinic keratosis lesions on the same day, not to include freezethaw cycles $29.60
Z122 Group 3 cyst, haemangioma, lipoma Face or neck Local anaesthetic single lesion $39.25
Z124 Group 3 cyst, haemangioma, lipoma Face or neck Local anaesthetic three or more lesions $79.55
Z125 Group 3 cyst, haemangioma, lipoma Other areas Local anaesthetic single lesion $32.65
Z126 Group 3 cyst, haemangioma, lipoma Other areas Local anaesthetic two lesions $45.90
Z127 Group 3 cyst, haemangioma, lipoma Other areas Local anaesthetic three or more lesions $61.20
Z128 Simple, partial or complete, nail plate excision requiring anaesthesia one $33.75
Z129 Simple, partial or complete, nail plate excision requiring anaesthesia multiple $36.40
Z130 Radical, including destruction of nail bed one $64.00
Z131 Radical, including destruction of nail bed multiple $84.30
Z132 Insertion of tissue expander $310.20
Z137 Percutaneous inflation of first tissue expander $23.50
Z138 Replacement of tissue expander by permanent prosthesis $199.80
Z145 Group 3 cyst, haemangioma, lipoma Face or neck General anaesthetic single lesion $66.65
Z146 Group 3 cyst, haemangioma, lipoma Face or neck General anaesthetic two lesions $100.55
Z147 Group 3 cyst, haemangioma, lipoma Face or neck General anaesthetic three or more lesions $165.80
Z148 Face or neck General anaesthetic extensive or massive (see General Preamble GP12) $165.80
Z149 Group 3 cyst, haemangioma, lipoma Other areas General anaesthetic single lesion $51.00
Z150 Group 3 cyst, haemangioma, lipoma Other areas General anaesthetic two lesions $66.85
Z151 Group 3 cyst, haemangioma, lipoma Other areas General anaesthetic three or more lesions $100.55
Z152 Other areas General anaesthetic extensive or massive (see General Preamble GP12) $100.55
Z154 Repair of lacerations up to 5 cm if on face and/or requires tying of bleeders and/or closure in layers $36.60
Z155 Biopsy(ies) extensive, complicated or requiring general anaesthetic when sole procedure (see General Preamble GP12) $36.60
Z156 Group 1 e.g. keratosis, pyogenic granuloma Removal by excision and suture single lesion $20.40
Z157 Group 1 e.g. keratosis, pyogenic granuloma Removal by excision and suture two lesions $27.05
Z158 Group 1 e.g. keratosis, pyogenic granuloma Removal by excision and suture three or more lesions $45.15
Z159 Group 1 e.g. keratosis, pyogenic granuloma Removal by electrocoagulation and/or curetting single lesion $10.75
Z160 Group 1 e.g. keratosis, pyogenic granuloma Removal by electrocoagulation and/or curetting two lesions $16.15
Z161 Group 1 e.g. keratosis, pyogenic granuloma Removal by electrocoagulation and/or curetting three or more lesions $26.75
Z162 Group 2 nevus Removal by excision and suture single lesion $20.40
Z163 Group 2 nevus Removal by excision and suture two lesions $27.05
Z164 Group 2 nevus Removal by excision and suture three or more lesions $45.15
Z165 Lesions Group 2 nevus Congenital (extensive) (see General Preamble GP12) $45.15
Z172 Abscess or haematoma General anaesthetic subcutaneous two or more $67.95
Z173 Abscess or haematoma Local anaesthetic subcutaneous two $30.95
Z174 Abscess or haematoma Local anaesthetic subcutaneous three or more $41.60
Z175 Repair of lacerations 5.1 to 10 cm $36.60
Z176 Repair of lacerations up to 5 cm $20.40
Z177 Repair of lacerations 5.1 to 10 cm if on face and/or requires tying of bleeders and/or closure in layers $72.75
Z179 Repair of lacerations 10.1 to 15 cm $51.40
Z180 Resuscitation Major Burn, Initial Care first day $108.40
Z181 Resuscitation Major Burn, Initial Care continuing care, 2nd to 4th day inclusive, per day $54.15
Z187 Complex laceration repair, face $94.15
Z188 Complex laceration repair, anatomical area other than face, (except digit, zone 1 repair) $94.15
Z189 Complex repair, digit, zone 1 repair, without soft tissue loss, per digit $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 $103.50
Z191 Repair of lacerations more than 15.1 cm other than face $78.85
Z192 Repair of lacerations more than 15.1 cm on face $158.05
Z196 Myocutaneous, myogenous or fasciacutaneous flaps Repair of abdominal defect different surgeon $385.25
Z227 Foreign body removal Intramuscular abscess or haematoma $103.70
Z245 Biopsy for malignant hyperthermia, three or more $155.90

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.

OHIP Billing Codes

Search all OHIP billing codes

Lookup any OHIP billing code using our searchable database. Search by billing code or keyword.

An OHIP Expert in Your Pocket

Find codes and bill premiums with a tap. Try free for 45 days, no credit card required.

Get started

Ready to Get Started?

Register for Your Free 45-Day Trial

See .

Download the Dr.Bill App

Submit Your First Claim

Try For Free Request a demo

45 Day Free Trial Offer.