R015 – Transplantation of free jejunum artery and vein with microvascular anastomosis
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Transplantation of free jejunum artery and vein with microvascular anastomosis is a complex reconstructive surgical procedure. It involves moving a segment of the jejunum with its own blood supply (artery and vein) to a different location in the body and re-establishing blood flow through microvascular surgery. This procedure is typically performed as part of a multi-stage reconstruction, often following the removal of a tumor. Related procedures include R013 for harvesting the jejunal flap and R014 or R016 for preparing the recipient site.
When to Use
- Use R015 specifically for the microvascular anastomosis phase of a free jejunal flap transfer, distinct from the harvesting (R013) or recipient site preparation (R014/R016).
- Apply this code when the jejunum segment is successfully revascularized in the recipient site, typically for pharyngeal or esophageal reconstruction.
Common Pitfalls
- Billing R015 as a standalone code without accompanying R013 or R014/R016 claims, which may trigger audit flags for incomplete surgical documentation.
- Failing to document the Injury Severity Score (ISS) in the medical record when attempting to claim the E420 trauma premium for emergency reconstructions.
Billing Tips
- Ensure the second assistant is explicitly billed alongside R015, as this code is pre-authorized for second assistant payment without requiring prior medical consultant approval.
Effective: April 1, 2025
M. Integumentary System Surgical Procedures
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Surgical
Integumentary System Surgical Procedures
From : Services of a second assistant are payable for R015 without requiring authorization from a medical consultant.
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