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R016
R016 – Preparation of microvascular recipient site for jejunum artery and vein immediately following ablative surgery
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Preparation of microvascular recipient site for jejunum artery and vein immediately following ablative surgery, and when recipient vessels are in site of the ablation.
When to Use
- Use R016 specifically for the preparation of recipient vessels (artery and vein) for a free jejunal flap immediately following an ablative procedure where the vessels are located within the resection site.
- Select R016 when the microvascular recipient site preparation is a distinct, documented procedural step separate from the primary ablative resection.
Common Pitfalls
- Failure to apply the mandatory 15% reduction to the R016 fee when the ablative surgeon and the reconstructive surgeon are different individuals.
- Billing R016 in isolation without clear documentation of the microvascular recipient site preparation, which can lead to audit recovery if the service is deemed part of the global ablative procedure.
Billing Tips
- Ensure that the operative report explicitly details the dissection and preparation of the specific recipient artery and vein to justify the R016 claim separate from the primary resection.
- If the procedure is performed after hours, ensure the appropriate after-hours premium (E409 or E410) is linked to the R016 claim to maximize the procedural fee.
Provider Fee$544.95
Surgical Assistant Fee$125.10
Anaesthetist Fee$154.90
Non-Anaesthetist Fee$154.90
Effective: April 1, 2025
Since Apr 2004, this fee has increased 5.0% vs 57.0% CPI inflation
Category
M. Integumentary System Surgical Procedures
Subcategory
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Integumentary System Surgical Procedures
When excision of the lesion and preparation of the recipient site are carried out by different surgeons, the preparation fees should be reduced by 15%.
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