R060 – Inguinal, perineal or axillary skin and sweat glands - with skin graft(s) or rotation flap(s)
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This procedure involves the surgical removal of inguinal, perineal or axillary skin and sweat glands, typically performed for conditions such as hyperhidrosis (excessive sweating) and/or hidradenitis (inflammation of sweat glands). This specific code applies when the procedure includes the use of skin graft(s) or rotation flap(s). As a surgical procedure, this service includes all associated pre-operative and post-operative care as defined in the Schedule of Benefits. This is a surgical procedure typically performed in a hospital setting. The fee for this service is for the surgeon (suffix A), and separate calculations apply for surgical assistant (suffix B) and anaesthetist (suffix C) services.
When to Use
- Use R060 when performing excision of sweat glands in the axilla or perineum specifically requiring a rotation flap or skin graft for closure.
- Use R060 for complex hidradenitis suppurativa cases where simple primary closure is insufficient and reconstructive techniques are mandated.
Common Pitfalls
- Billing R060 when simple excision and primary closure are performed; these cases should be billed under R059 instead.
- Attempting to bill R060 in addition to a separate skin graft code; R060 is a comprehensive code that includes the graft or flap procedure.
- Failing to document the specific use of a rotation flap or skin graft, which is a mandatory requirement for the validity of this code during an audit.
Billing Tips
- Ensure the operative report explicitly details the flap design or graft harvest site to justify the use of R060 over the lower-valued R059.
Effective: April 1, 2026
M. Integumentary System Surgical Procedures
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Surgical
Cardiovascular Surgical Procedures
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