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E517 – Immediate postmastectomy superficial chest wall reconstruction

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

This is a percentage-based surgical add-on for immediate superficial chest wall reconstruction following a simple mastectomy (R108). It is intended to compensate for the additional work of extensive undermining or specific closure techniques to manage flap deformities.
The surgeon must perform and document one of the following in the operative report:
a. Extensive undermining for local advancement flaps >10cm to obliterate inferior or lateral excess flap deformities associated with simple mastectomies; or
b. Modified M-plasty or fishtail closure.

E517 is specifically listed as an add-on to R108 (Simple Mastectomy) and is not explicitly listed for other mastectomy codes like R117 or R109.

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