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R061

R061Neurovascular island transfer - minor

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

A minor neurovascular island transfer procedure, for example, on a finger tip. The service is listed under the Integumentary System Surgical Procedures section of the Schedule.

When to Use

  • Use R061 for the transfer of a neurovascular island flap specifically for fingertip reconstruction where the pedicle is maintained to preserve sensation.
  • Select R061 when the procedure is limited in scope, distinguishing it from the more extensive R062 or R063 which involve more complex or larger tissue transfers.

Common Pitfalls

  • Billing R061 alongside R058 for the same site is often flagged as unbundling; ensure the surgical notes clearly delineate separate procedures if multiple codes are submitted.
  • Over-coding R061 when the procedure is merely a simple skin graft or local flap; ensure the documentation explicitly describes the neurovascular pedicle dissection to justify the 'island' designation.
  • Failure to document the specific digit or location, which can lead to rejections if the claim lacks the necessary anatomical specificity required for integumentary surgical procedures.

Billing Tips

  • Always verify if the procedure meets the criteria for a minor versus major transfer; if the complexity exceeds a standard fingertip island flap, consider if R062 is more appropriate to avoid under-billing.
  • If performing this procedure in an emergency setting, ensure the appropriate After Hours Procedure Premium (E409 or E410) is appended to the R061 fee, as it is not automatically calculated.
Provider Fee$140.25
Surgical Assistant Fee$75.06
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94

Effective: April 1, 2025

Category

M. Integumentary System Surgical Procedures

Subcategory

INTEGUMENTARY SYSTEM SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Integumentary System Surgical Procedures

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