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R008
R008 – Lower transverse rectus abdominus flap
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
The full description needs to be rewritten to accurately reflect 'Lower transverse rectus abdominus flap' based on the Schedule of Benefits, as the current description pertains to a different procedure (fracture of acetabulum/pelvis).
When to Use
- Use R008 specifically for the harvest and transfer of a lower transverse rectus abdominis myocutaneous (TRAM) flap for breast reconstruction.
- Select R008 when the procedure involves the transfer of the rectus abdominis muscle and overlying skin island based on the deep inferior epigastric artery.
Common Pitfalls
- Do not bill R008 in conjunction with R005 or R006, as these represent different flap techniques and would be considered unbundling.
- Avoid billing R008 alongside Z196 for the same anatomical site, as the flap harvest is inclusive of the primary reconstruction effort.
Billing Tips
- Ensure the operative report clearly details the pedicle used, as this distinguishes R008 from free flap procedures that may require different coding.
Provider Fee$984.55
Surgical Assistant Fee$75.06
Anaesthetist Fee$123.92
Non-Anaesthetist Fee$123.92
Effective: April 1, 2025
Category
M. Integumentary System Surgical Procedures
Subcategory
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
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