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R024

R024Acute laceration earlobe, unilateral

OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

A surgical procedure for the repair of an acute, one-sided laceration of the earlobe. As a surgical procedure, it includes the common and specific elements of surgical services as outlined in the Schedule of Benefits.

When to Use

  • Use R024 for the surgical repair of a full-thickness or partial-thickness acute laceration specifically involving the earlobe.
  • Use this code when the repair requires suturing or surgical closure, distinguishing it from simple wound care or suture removal (UVC).

Common Pitfalls

  • Billing R024 in conjunction with general laceration repair codes like Z176 or Z154 for the same anatomical site, which triggers automatic claim rejection due to mutual exclusivity.
  • Failing to reduce the fee by 50% when using tissue adhesives (e.g., Dermabond) instead of sutures, as per the Schedule of Benefits payment adjustment rules.
  • Attempting to bill an assessment code (A-prefix) for the same encounter without a valid Special Visit Premium, which is restricted for surgical procedures.

Billing Tips

  • Ensure the procedural note clearly describes the repair of the earlobe specifically, as this code is site-specific and carries a higher fee than generic laceration repairs.
  • If the repair is performed in an emergency or hospital setting, append the appropriate Special Visit Premium (Table I, II, or III) along with the required A-prefix assessment code to ensure the visit itself is compensated.
Provider Fee$110.25

Effective: April 1, 2026

Category

M. Integumentary System Surgical Procedures

Subcategory

INTEGUMENTARY SYSTEM SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Integumentary System Surgical Procedures

The term 'unilateral' in the title indicates the procedure is performed on one side.

Removal of sutures only is payable as a visit fee (UVC).

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