R025 – Revision of free island flaps
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Revision of a free island flap. This is a surgical procedure for the correction or adjustment of a previously transplanted free island flap. The fee for the surgeon (suffix A) is determined by Independent Consideration (IC). As per , claims for IC services must be submitted with a supporting letter explaining the fee claimed, an operative report, and a comparison to non-IC procedures. The service is eligible for surgical assistant (suffix B) and anaesthetist (suffix C) services, each with 10 base units () plus applicable time units as described in and respectively.
When to Use
- Use for secondary surgical interventions required to adjust or correct a previously transplanted free island flap, such as debulking or contouring.
- Use when the procedure involves the revision of the flap itself, distinguishing it from general wound debridement or simple scar revisions (e.g., R106).
Common Pitfalls
- Failing to submit the mandatory supporting letter and operative report at the time of claim submission will result in an automatic rejection for this IC service.
- Submitting a claim without a clear comparison to a non-IC procedure in the Schedule makes it impossible for the Ministry to adjudicate the fee, leading to delays or denials.
- Attempting to bill R025 for routine post-operative care or minor office-based adjustments that do not meet the threshold of a surgical revision.
Billing Tips
- When drafting your supporting letter, explicitly reference the complexity, time, and technical skill required for the revision compared to a standard procedure like R106 to justify your requested IC fee.
No fee information available.
M. Integumentary System Surgical Procedures
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Surgical
Integumentary System Surgical Procedures
When claiming for an IC service, a supporting letter must be submitted explaining the amount of the fee claimed, and must include an appropriate operative or consultation report, and a comparison of the scope and difficulty of the procedure in relation to non-IC procedures in the Schedule.
see General Preamble
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