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R062

R062Neurovascular island transfer - Intermediate

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

Neurovascular island transfer, intermediate, is a surgical procedure where a section of tissue, complete with its artery, vein, and nerve supply (a neurovascular pedicle), is moved from a donor site to a recipient site. An example provided is transferring such tissue from a finger to the thumb. This procedure is typically performed to restore sensation and vascularity to a critical area.

When to Use

  • Use R062 for the transfer of a tissue flap that maintains its own neurovascular bundle, such as a Moberg volar advancement flap or a neurovascular island flap from an adjacent digit to the thumb.
  • Select R062 when the procedure involves the dissection and transposition of a pedicled flap to restore sensation and coverage, distinguishing it from simple skin grafts or random pattern flaps.

Common Pitfalls

  • Avoid billing R062 in conjunction with simple debridement or primary closure codes if the flap transfer is the primary definitive procedure, as this may be flagged as unbundling.
  • Do not bill R062 for free tissue transfers (microvascular), which require different codes; R062 is strictly for pedicled neurovascular island transfers.
  • Failure to document the specific neurovascular pedicle dissection can lead to audit rejection, as the code requires proof of the vascular and nerve supply maintenance.

Billing Tips

  • Ensure the operative report explicitly details the isolation of the neurovascular bundle, as this is the defining technical requirement for R062 over simpler flap codes.
  • If performing bilateral transfers, append the appropriate bilateral modifier (e.g., 'BI') to the claim to ensure correct payment for both procedures.
Provider Fee$259.20
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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