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R010
R010 – Wide excision of malignant melanoma
OHIP Integumentary System Surgical Procedures Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Wide excision of a malignant melanoma in any area; must include margins greater than 1 cm and layered closure. Listed under Malignant Lesions Including Biopsy of Each Lesion in the Integumentary System section, with 6 assistant units and 7 anaesthesia units. - E540 adds 25% to the excision or repair fee if the excision is performed in hospital for tumour-free margin with frozen section. - When the excision is corrected by an advancement flap with undermining of more than 2.5 cm per side, a rotation, transposition or Z-plasty, or another flap or graft, claim the appropriate benefit listed under the Skin Flaps and Grafts section instead of the excision benefit. - For sentinel node biopsy, see Z427.
The pathologist's report must be retained in the patient's record.
Note: A pre-malignant lesion is not a malignant lesion for the purposes of payment.
Note: When excision of benign, pre-malignant or malignant lesions are corrected by advancement, rotation, transposition, Z-plasty, flap or graft, claim appropriate benefit listed under Repair Section instead of foregoing excision benefits.
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