OHIP Billing Codes

Specialty: Skin And Subcutaneous Tissue

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Code	Description	Anes	Asst	Fee
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Burns
R661	Burn debridement and excision - outside Operating Room - dorsum, palm each	0		$47.95
R660	Burn debridement and excision - outside Operating Room - hand each digit	0		$28.90
R662	Burn debridement and excision - outside Operating Room - nose, cheek, lip, ear, forehead, scalp, neck, eyelid each	0		$28.90
R637	Debridement and excision, per % of total body treated other than hand, head or neck	0		$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	10	6	$100.00
R693	Debridement, excision and/or grafting - in Operating Room - Major burn - Per Unit	0		$100.00
R691	Debridement, excision and/or grafting - in Operating Room - Minor burn - Per unit	0		$75.00
R692	Debridement, excision and/or grafting - in Operating Room - Moderate burn - Per unit	0		$87.50
R039	Major burns	15	8
R030	Minor burns	6	6
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R038	Moderate burns	10	6
Z181	Resuscitation - Major Burn, Initial Care - continuing care, 2nd to 4th day inclusive, per day	0		$53.10
Z180	Resuscitation - Major Burn, Initial Care - first day	0		$106.25
R690	Skin allograft procurement - for banking purposes, per % of total body harvested, other than hand, head or neck	7	7	$17.25
Complete Study - 1 and 2 dimensions
G571	Professional component	0		$96.20
	G400 Physician-in-charge - 1st day			$223.10
G570	Technical component	0		$118.95
	G400 Physician-in-charge - 1st day			$223.10
COVID-19 Immunization
G593	COVID-19 vaccine	0		$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	0		$29.00
R160	Face or Neck - Simple excision - single lesion	6	6	$53.20
R162	Face or Neck - Simple excision - three or more lesions	6	6	$174.75
R161	Face or Neck - Simple excision - two lesions	6	6	$87.40
R163	Other Areas - Simple excision - single lesion	6	6	$43.60
R165	Other Areas - Simple excision - three or more lesions	6	6	$143.55
R164	Other Areas - Simple excision - two lesions	6	6	$71.80
Excision (With or Without Biopsy)
Z159	Group 1 - e.g. keratosis, pyogenic granuloma - Removal by electrocoagulation and/or curetting - single lesion	6		$10.55
Z161	Group 1 - e.g. keratosis, pyogenic granuloma - Removal by electrocoagulation and/or curetting - three or more lesions	6		$26.20
Z160	Group 1 - e.g. keratosis, pyogenic granuloma - Removal by electrocoagulation and/or curetting - two lesions	6		$15.85
Z156	Group 1 - e.g. keratosis, pyogenic granuloma - Removal by excision and suture - single lesion	6		$20.00
Z158	Group 1 - e.g. keratosis, pyogenic granuloma - Removal by excision and suture - three or more lesions	6		$44.25
Z157	Group 1 - e.g. keratosis, pyogenic granuloma - Removal by excision and suture - two lesions	6		$26.50
Z162	Group 2 - nevus - Removal by excision and suture - single lesion	6		$20.00
Z164	Group 2 - nevus - Removal by excision and suture - three or more lesions	6		$44.25
Z163	Group 2 - nevus - Removal by excision and suture - two lesions	6		$26.50
Z145	Group 3 - cyst, haemangioma, lipoma - Face or neck General anaesthetic - single lesion	6	6	$65.35
Z147	Group 3 - cyst, haemangioma, lipoma - Face or neck General anaesthetic - three or more lesions	6	6	$162.55
Z146	Group 3 - cyst, haemangioma, lipoma - Face or neck General anaesthetic - two lesions	6	6	$98.55
Z122	Group 3 - cyst, haemangioma, lipoma - Face or neck Local anaesthetic - single lesion	0		$38.50
Z124	Group 3 - cyst, haemangioma, lipoma - Face or neck Local anaesthetic - three or more lesions	0		$78.00
Z123	Group 3 - cyst, haemangioma, lipoma - Face or neck Local anaesthetic - two lesions	0		$67.80
Z125	Group 3 - cyst, haemangioma, lipoma - Other areas - Local anaesthetic - single lesion	0		$32.00
Z127	Group 3 - cyst, haemangioma, lipoma - Other areas - Local anaesthetic - three or more lesions	0		$60.00
Z126	Group 3 - cyst, haemangioma, lipoma - Other areas - Local anaesthetic - two lesions	0		$45.00
Z149	Group 3 - cyst, haemangioma, lipoma - Other areas General anaesthetic - single lesion	6	6	$50.00
Z151	Group 3 - cyst, haemangioma, lipoma - Other areas General anaesthetic - three or more lesions	6	6	$98.55
Z150	Group 3 - cyst, haemangioma, lipoma - Other areas General anaesthetic - two lesions	6	6	$65.55
R034	Group 4 - other lesions - Congenital dermoid cyst adult	6	6	$124.40
R043	Group 4 - other lesions - Congenital dermoid cyst adult - infant or child	6	6	$201.10
R042	Group 4 - other lesions - Congenital dermoid cyst adult - midline, e.g. nasal	6	6	$272.80
R037	Group 4 - other lesions - Giant cell tumour	6	6	$200.00
R059	Group 4 - other lesions - Inguinal, perineal or axillary skin and sweat glands for hyperhydrosis and/or hydradenitis - unilateral	6	6	$248.80
Z096	Group 4 - other lesions - Lipoma 5 to 10 cm	6	6	$80.00
Z097	Group 4 - other lesions - Lipoma over 10 cm	6	6	$160.00
R036	Group 4 - other lesions - Pilonidal cyst - excision and skin shift	6	6	$280.00
R035	Group 4 - other lesions - Pilonidal cyst - simple excision or marsupialization	6		$200.00
R054	Group 4 - other lesions - Pilonidal cyst - simple excision or marsupialization, if patient's BMI greater than 40	6	6	$250.00
R060	Inguinal, perineal or axillary skin and sweat glands for hyperhydrosis and/or hydradenitis - with skin graft(s) or rotation flap(s)	7	6	$377.90
Finger or Toe-Nail
Z110	Extensive debridement of onychogryphotic nail involving removal of multiple laminae	0		$17.45
Z131	Radical, including destruction of nail bed - multiple	6		$82.65
Z130	Radical, including destruction of nail bed - one	6		$62.75
R022	Scar Revision - 2.6 cm to 5 cm - face or neck	6	6	$194.85
R027	Scar Revision - 2.6 cm to 5 cm - other areas	6	6	$130.10
R023	Scar Revision - 5.1 cm to 10 cm - face or neck	7	6	$277.90
R028	Scar Revision - 5.1 cm to 10 cm - other areas	6	6	$185.60
R017	Scar Revision - Greater than 10 cm - face or neck	7	6	$417.05
R029	Scar Revision - Greater than 10 cm - other areas	7	6	$288.20
R021	Scar Revision - Up to 2.5 cm - face or neck	6	6	$115.60
R026	Scar Revision - Up to 2.5 cm - other areas	6	6	$77.35
Z129	Simple, partial or complete, nail plate excision requiring anaesthesia - multiple	6		$35.70
Z128	Simple, partial or complete, nail plate excision requiring anaesthesia - one	6		$33.10
R089	Webbed fingers and toes - Webbed fingers one web space	6	6	$400.00
R090	Webbed fingers and toes - Webbed toes one web space	7	6	$250.00
Free Island Flaps
R131	Elevation of free island bone flap and closure of defect	10	10	$874.60
R128	Elevation of free island muscle flap with tendon and nerve, and closure of defect .	10	10	$1,183.50
R134	Elevation of free island skin and bone flap and closure of defect	10	10	$1,048.60
R125	Elevation of free island skin and muscle flap and closure of defect	10	10	$874.60
R064	Elevation of free island skin and subcutaneous flap and closure of defect	10	10	$874.60
R137	Elevation of free toe or finger and closure of defect	10	10	$1,048.60
R067	Elevation of innervated free island skin and subcutaneous flap and closure of defect	10	10	$1,028.20
R013	Free jejunum artery and vein for transplantation	10	10	$338.85
R132	Preparation of microvascular recipient site for free island bone flap	10	10	$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	10	10	$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	10	10	$544.95
R135	Preparation of microvascular recipient site for free island skin and bone flap	10	10	$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	10	10	$617.10
R126	Preparation of microvascular recipient site for free island skin and muscle flap	10	10	$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	10	10	$544.95
R065	Preparation of microvascular recipient site for free island skin subcutaneous flap	10	10	$925.85
R014	Preparation of microvascular recipient site for free jejunum artery and vein	10	10	$925.85
R138	Preparation of microvascular recipient site for free toe or finger transplant	10	10	$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	10	10	$617.10
R068	Preparation of microvascular recipient site for innervated free island skin and subcutaneous flap	10	10	$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	10	10	$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	10	10	$544.95
R129	Preparation of microvascular recipient site for muscle, tendon and nerve anastomosis(es)	10	10	$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	10	10	$696.40
R133	Transplantation of free island bone flap with microvascular anastomosis(es) and bone fixation	10	10	$1,028.20
R130	Transplantation of free island muscle flap with tendon, nerve and microvascular anastomosis(es)	10	10	$1,183.50
R136	Transplantation of free island skin and bone flap with microvascular anastomosis(es) and bone fixation	10	10	$1,048.60
R127	Transplantation of free island skin and muscle flap with microvascular anastomosis(es)	10	10	$874.60
R066	Transplantation of free island skin and subcutaneous flap with microvascular anastomosis(es)	10	10	$925.85
R139	Transplantation of free island toe or finger with microvascular anastomosis(es) and tendon nerve and bone repair	10	10	$1,233.75
R015	Transplantation of free jejunum artery and vein with microvascular anastomosis	10	10	$925.85
R069	Transplantation of innervated free island skin and subcutaneous flap with microvascular anastomosis(es) and nerve repair	10	10	$961.60
Incision
Z107	Abscess or haematoma - General anaesthetic - subcutaneous - ischiorectal or pilonidal	6		$108.00
Z102	Abscess or haematoma - General anaesthetic - subcutaneous - one	6		$44.35
Z108	Abscess or haematoma - General anaesthetic - subcutaneous - palmar or plantar spaces	6		$72.00
Z105	Abscess or haematoma - General anaesthetic - subcutaneous - perianal	6		$66.00
Z172	Abscess or haematoma - General anaesthetic - subcutaneous - two or more	7		$66.60
Z106	Abscess or haematoma - Local anaesthetic - subcutaneous - ischiorectal or pilonida	0		$44.35
Z101	Abscess or haematoma - Local anaesthetic - subcutaneous - one	0		$25.75
Z103	Abscess or haematoma - Local anaesthetic - subcutaneous - palmar or plantar spaces	0		$44.35
Z104	Abscess or haematoma - Local anaesthetic - subcutaneous - perianal	0		$20.10
Z174	Abscess or haematoma - Local anaesthetic - subcutaneous - three or more	0		$40.80
Z173	Abscess or haematoma - Local anaesthetic - subcutaneous - two	0		$30.35
Z245	Biopsy for malignant hyperthermia, three or more	10		$152.85
Z113	Biopsy(ies) - any method, when sutures are not used	0		$29.60
Z116	Biopsy(ies) - any method, when sutures are used	0		$29.60
Z118	Foreign body removal - Aspiration of superficial lump for cytology	0		$28.25
Z115	Foreign body removal - general anaesthetic	6	6	$88.80
Z227	Foreign body removal - Intramuscular abscess or haematoma	6		$101.65
Z114	Foreign body removal - local anaesthetic	0		$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	0		$11.65
R018	Face or neck - Curettage, electrodesiccation or cryosurgery - single lesion	6	6	$68.55
R020	Face or neck - Curettage, electrodesiccation or cryosurgery - three or more lesions	6	6	$225.75
R019	Face or neck - Curettage, electrodesiccation or cryosurgery - two lesions	7	6	$112.90
R048	Face or neck - Simple excision - single lesion	6	6	$92.15
R050	Face or neck - Simple excision - three or more lesions	7	6	$233.00
R049	Face or neck - Simple excision - two lesions	7	6	$139.20
R010	Malignant melanoma - wide excision in any area and must include > 1 cm margins and layered closure	7	6	$124.10
R031	Other areas - Curettage, electrodesiccation or cryosurgery - single lesion	6	6	$55.05
R033	Other areas - Curettage, electrodesiccation or cryosurgery - three or more lesions	6	6	$181.55
R032	Other areas - Curettage, electrodesiccation or cryosurgery - two lesions	7	6	$90.70
R094	Other areas - Simple excision - single lesion	7	6	$58.15
R041	Other areas - Simple excision - three or more lesions	7	6	$191.40
R040	Other areas - Simple excision - two lesions	6	6	$95.70
Mohs Micrographic Surgery
R081	MOHS Micrographic Surgery - Initial cut, including debulking	7	6	$315.45
Plastic Surgery Procedures
Z132	Insertion of tissue expander	7	6	$304.10
Z137	Percutaneous inflation of first tissue expander	0		$23.05
R154	Plastic Surgery Procedures - Extensive Major - The minimum benefit for each would be as follows:	6	6	$568.95
R152	Plastic Surgery Procedures - Intermediate - The minimum benefit for each would be as follows:	7	6	$259.20
R153	Plastic Surgery Procedures - Major - The minimum benefit for each would be as follows:	7	6	$388.00
R151	Plastic Surgery Procedures - Minor - The minimum benefit for each would be as follows:	6	6	$140.25
R150	Plastic Surgery Procedures - Very Minor - The minimum benefit for each would be as follows:	6		$92.30
Z094	Removal tissue expander injection port when sole procedure - general anaesthetic	6	6	$75.45
Z095	Removal tissue expander injection port when sole procedure - local anaesthetic	0		$37.70
Z138	Replacement of tissue expander by permanent prosthesis	7		$195.85
Repair of Lacerations
Z188	Complex laceration repair, anatomical area other than face, (except digit, zone 1 repair)	0		$92.30
Z187	Complex laceration repair, face	0		$92.30
Z189	Complex repair, digit, zone 1 repair, without soft tissue loss, per digit	0		$92.30
R525	Muscle repair - Simple muscle repair(s) to include repair of involved skin	7	6	$88.60
Z179	Repair of lacerations - 10.1 to 15 cm	6		$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	6		$101.45
Z175	Repair of lacerations - 5.1 to 10 cm	6		$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	6		$71.30
R024	Repair of lacerations - Acute laceration earlobe, unilateral	0		$100.65
Z192	Repair of lacerations - more than 15.1 cm on face	7		$154.95
Z191	Repair of lacerations - more than 15.1 cm other than face	6		$77.30
Z176	Repair of lacerations - up to 5 cm	6		$20.00
Z154	Repair of lacerations - up to 5 cm if on face and/or requires tying of bleeders and/or closure in layers	6		$35.90
Skin Flaps
R011	Advancement flaps - Defect 2.1 to 5 cm - face, neck or scalp	6	6	$89.85
R002	Advancement flaps - Defect 2.1 to 5 cm - other areas	6	6	$67.40
R012	Advancement flaps - Defect 5.1 to 10 cm - face, neck or scalp	6	6	$247.15
R003	Advancement flaps - Defect 5.1 to 10 cm - other areas	6	6	$161.75
R004	Advancement flaps - Defect more than 10 cm such as thoracic abdominal flap	7	6	$242.70
R046	Defect 2.1 to 5 cm average diameter - face, neck or scalp	6	6	$335.15
R008	Myocutaneous, myogenous or fascia-cutaneous flaps - Lower transverse rectus abdominus flap	8	6	$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	8	6	$783.40
R006	Myocutaneous, myogenous or fascia-cutaneous flaps - Pectoralis major	6	6	$734.95
Z196	Myocutaneous, myogenous or fascia-cutaneous flaps - Repair of abdominal defect - different surgeon	0		$377.65
R005	Myocutaneous, myogenous or fascia-cutaneous flaps - Sternomastoid, tensor fascia lata, gluteus maximus, gracilis, sartorius, rectus femoris, gastrocnemius (medial and lateral), trapezius	6	6	$545.00
R100	Pedicle flaps - Delay, major flap	6	6	$291.90
R101	Pedicle flaps - Delay, Small/Intermediate flap	7	6	$132.45
R080	Pedicle flaps - Large, e.g. cross leg, deltopectoral, forehead	6	6	$416.30
R078	Pedicle flaps - Large, e.g. cross leg, deltopectoral, forehead - each subsequent stage	7	6	$311.45
R070	Pedicle flaps - Small/Intermediate, e.g. cross finger, cervical finger	7	6	$293.75
R071	Pedicle flaps - Small/Intermediate, e.g. cross finger, cervical finger - each subsequent stage	6	6	$223.35
R075	Rotations, transpositions, Z-plasties - Defect 2.1 to 5 cm average diameter - other areas	6	6	$223.35
R047	Rotations, transpositions, Z-plasties - Defect 5.1 to 10 cm average diameter - face, neck or scalp	7	6	$477.45
R073	Rotations, transpositions, Z-plasties - Defect 5.1 to 10 cm average diameter - other areas	7	6	$318.45
R045	Rotations, transpositions, Z-plasties - Defect less than 2 cm average diameter - face, neck or scalp	6	6	$203.70
R072	Rotations, transpositions, Z-plasties - Defect less than 2 cm average diameter - other areas	7	6	$133.40
R076	Rotations, transpositions, Z-plasties - Defect more than 10 cm average diameter - face, neck or scalp	7	6	$709.90
R074	Rotations, transpositions, Z-plasties - Defect more than 10 cm average diameter -other areas	7	6	$477.85
Skin Grafts
R091	Full thickness grafts - Complex eyelid, nose, lip, face	7	6	$263.95
R093	Full thickness grafts - Intermediate 1 cm to 5 cm average diameter	7	6	$178.90
R083	Full thickness grafts - Major over 5 cm	7	6	$280.15
R092	Full thickness grafts - Minor less than 1 cm average diameter	7		$116.65
R062	Neurovascular island transfer - Intermediate, e.g. finger to thumb transfer	6	6	$259.20
R063	Neurovascular island transfer - Major, e.g. foot to heel	6	6	$430.85
R061	Neurovascular island transfer - Minor, e.g. finger tip	6	6	$140.25
R086	Split thickness grafts - Intermediate, large areas, e.g. trunk, arms, legs	7	6	$259.10
R085	Split thickness grafts - Minor, medium sized areas, e.g. small or skin ulcer, breast, etc	6	6	$140.25
R084	Split thickness grafts - Very minor, very small areas, e.g. trauma	7		$92.30
R088	Split thickness grafts -Extensive major, very large area(s)	6	6	$567.95
R087	Split thickness grafts -Major, complex areas, e.g. face, neck, hands	7	6	$388.00
R845	Stasis ulcer - multiple ligation and skin graft per leg	6	6	$341.55
R847	Stasis ulcer - with skin graft per leg	7	6	$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	0		$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	0		$90.00
Z083	Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - four or more	0		$60.00
Z080	Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - one	0		$20.00
Z082	Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - three	0		$45.00
Z081	Debridement of wound(s) and/or ulcer(s) extending into subcutaneous tissue - two	0		$30.00
R542	Ligaments - extensive ligament reconstruction (including synthetics) includes when rendered preparation of intracondyar notch	7	6	$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.