Question 1

What is OHIP billing code R035?

Accepted Answer

R035 is "Pilonidal cyst - simple excision or marsupialization", an OHIP Integumentary System Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

Question 2

How much does R035 pay?

Accepted Answer

The current OHIP fee for R035 is $219.10, effective 2026-04-01, per the Ontario Schedule of Benefits.

Question 3

How do I bill R035 to OHIP?

Accepted Answer

R035 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R035 claims against the Schedule of Benefits rules before submission.

Question 4

What codes are related to R035?

Accepted Answer

Codes related to R035 in the Schedule of Benefits include R054, R036.

R035 – Pilonidal cyst - simple excision or marsupialization

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