R062 – Neurovascular 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.
Effective: April 1, 2025
M. Integumentary System Surgical Procedures
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Surgical
Integumentary System Surgical Procedures
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