R027 – Scar revision - other areas (2.6 cm to 5 cm)
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Performs a surgical scar revision of any method of closure for a scar between 2.6 cm and 5.0 cm in length, located on an area of the body other than the face or neck. Note: - Authorization is required for all scar revisions in areas other than the face or neck (see Appendix D). This service is eligible for anaesthesia and assistant services, with 6 base units assigned for each when billed with the appropriate suffix.
When to Use
- Use R027 for surgical revision of a non-facial/non-neck scar measuring between 2.6 cm and 5.0 cm, provided you have obtained the mandatory Appendix D authorization.
- Choose R027 when the procedure involves formal excision and layered closure of a symptomatic scar, rather than a simple minor excision (which would fall under Z100 or similar minor surgery codes).
Common Pitfalls
- Billing R027 without prior Appendix D authorization will lead to automatic rejection; ensure the approval is secured before the procedure date.
- Confusing R027 with facial scar revisions (R023/R024/R025); R027 is strictly for non-facial/non-neck areas and carries different fee structures and authorization requirements.
- Failing to document the exact scar length in the operative report, which is essential to justify the 2.6 cm to 5.0 cm range if audited.
Billing Tips
- Always verify that the scar length is measured accurately at the time of surgery, as lengths under 2.6 cm or over 5.0 cm will require different codes (e.g., R026 or R028).
Effective: April 1, 2025
M. Integumentary System Surgical Procedures
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Surgical
Integumentary System Surgical Procedures
Authorization is required for all scar revisions in areas other than the face or neck (see Appendix D).
Authorization is required for all scar revisions in areas other than the face or neck (see Appendix D).
Revision of post-infection scarring of face must be claimed on an “I.C” basis - maximum payable will be as equated to R023.
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