R002 – Advancement flap - other areas (Defect 2.1 to 5 cm)
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service is for the creation of an advancement flap to repair a defect of 2.1 to 5 cm in size, located on areas of the body excluding the face, neck, or scalp. According to the preamble on :, this procedure includes: - Undermining of more than 2.5 cm per side. - Excision of a lesion if the advancement flap is the method of closure. Additional procedures, such as tendon grafts or inlay grafts, are not included and may be billed separately.
When to Use
- Use for the repair of a 2.1 to 5 cm surgical defect on the trunk or extremities using an advancement flap technique.
- Use when the procedure involves significant undermining (more than 2.5 cm per side) to facilitate the advancement of tissue to close the defect.
- Use as the primary procedure code when the excision of a lesion is performed concurrently and the advancement flap is the chosen method of closure.
Common Pitfalls
- Billing R002 for defects located on the face, neck, or scalp, which are excluded from this code's definition.
- Attempting to bill the lesion excision separately; the excision is considered inclusive in R002 when the flap is the method of closure.
- Incorrectly billing R002 for defects smaller than 2.1 cm or larger than 5 cm, as the code is strictly size-dependent.
Billing Tips
- Ensure the operative report explicitly documents the size of the defect and the extent of undermining to justify the use of R002 over simpler closure codes.
- If performing the excision in a hospital setting with a frozen section to confirm tumour-free margins, remember to append the E540 premium to the R002 fee.
Effective: April 1, 2025
M. Integumentary System Surgical Procedures
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Surgical
Integumentary System Surgical Procedures
To include undermining of more than 2.5 cm per side. Is intended to include excision of a lesion if this is technique of closure.
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