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E486 – Mastectomy - skin sparing - nipple sparing

OHIP Integumentary System Surgical Procedures Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

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An add-on fee for the operating surgeon when performing a nipple sparing technique in conjunction with a skin sparing mastectomy (R117).
The surgeon must perform and document the nipple sparing technique during the mastectomy.
R117Skin sparing mastectomy performed with immediate breast reconstruction for malignancy or prophylaxis in high-risk female patientsR108Simple mastectomyE517Immediate postmastectomy superficial chest wall reconstruction (add-on to R108)E505Limited axillary node sampling (add-on to R108 or R117)

E486 is a percentage-based add-on (30% of the surgeon's fee for R117).

Not eligible for payment as a virtual care service (not listed in Appendix J).

Does not provide additional basic units for the surgical assistant or anaesthesiologist.

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