What is OHIP billing code R063?

R063 is "Neurovascular island transfer - Major", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R063 pay?

The current OHIP fee for R063 is $430.85, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill R063 to OHIP?

R063 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R063 claims against the Schedule of Benefits rules before submission.

What codes are related to R063?

Codes related to R063 in the Schedule of Benefits include R061, R062.

All codes

R063

R063 – Neurovascular island transfer - Major

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

Ask AI Bill This Code — Sign Up Free

This is a major neurovascular island transfer procedure, a surgical service involving the movement of a flap of tissue with its own nerve and blood supply from a donor site to a recipient site. The schedule provides an example of transferring tissue from the foot to the heel. This service can be performed by a surgeon (R063A), with assistance (R063B), and with anaesthesia (R063C).

When to Use

Use R063 for complex reconstructive procedures involving the transfer of a tissue flap with a preserved neurovascular pedicle to restore sensation or function, such as a foot-to-heel transfer.
Select R063 over simpler integumentary procedures like R061 or R062 when the procedure specifically requires the microsurgical or meticulous dissection of a neurovascular bundle to maintain tissue viability.

Common Pitfalls

Billing R063 alongside other flap procedures without clear documentation of separate anatomical sites or distinct surgical intent, which may trigger a 'duplicate service' rejection.
Failure to document the specific neurovascular pedicle dissection, which is the defining clinical requirement for the 'major' classification of this code compared to standard skin grafts.
Incorrectly applying the E420 trauma premium without explicitly recording the required Injury Severity Score (ISS > 15 for adults or > 12 for pediatric patients) in the operative report.

Billing Tips

Ensure the operative report explicitly details the identification and transfer of the neurovascular bundle to justify the 'major' classification and prevent downgrading upon audit.
If the procedure is performed after hours, ensure the start time is clearly noted to support the application of E409 or E410, as these are frequently audited for surgical procedures.

Have a specific question? Ask our billing assistant

Provider Fee$430.85

Surgical Assistant Fee$75.06

Anaesthetist Fee$92.94

Non-Anaesthetist Fee$92.94

Effective: April 1, 2025

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in