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E069

E069Preparation of a contracted recipient site

OHIP Surgical Assists Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

This code represents the additional work of preparing a contracted recipient site for a pedicle flap. It is an add-on code and must be claimed with either R070 (Small/Intermediate pedicle flap) or R080 (Large pedicle flap).

When to Use

  • Use E069 when you must perform a formal release or excision of scar tissue at a recipient site to accommodate a pedicle flap (R070 or R080).
  • Apply this code when the recipient bed is significantly contracted, requiring additional surgical preparation beyond the standard flap inset procedure.

Common Pitfalls

  • Claiming E069 as a standalone service will result in an automatic rejection; it must be submitted on the same claim as R070 or R080.
  • Billing E069 for routine flap site preparation that is already considered part of the global surgical fee for R070 or R080 will lead to audit recovery.

Billing Tips

  • Ensure your operative report explicitly details the specific work performed to address the contracture, as this justifies the add-on fee over the base R070/R080 procedure.
Provider Fee$134.75

Effective: April 1, 2025

Category

M. Integumentary System Surgical Procedures

Subcategory

INTEGUMENTARY SYSTEM SURGICAL PROCEDURES

Service Type

Procedure

Code Classes

Integumentary System Surgical Procedures

- preparation of a contracted recipient site, to R070 or R080

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