What is OHIP billing code R067?

R067 is "Elevation of innervated free island skin and subcutaneous flap and closure of defect", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R067 pay?

The current OHIP fee for R067 is $1028.20, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill R067 to OHIP?

R067 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R067 claims against the Schedule of Benefits rules before submission.

What codes are related to R067?

Codes related to R067 in the Schedule of Benefits include R013, R014, R015, R016, R055, R056, R064, R065.

All codes

R067

R067 – Elevation of innervated free island skin and subcutaneous flap and closure of defect

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

Ask AI Bill This Code — Sign Up Free

This surgical procedure involves the isolation and elevation of an innervated free island skin and subcutaneous flap, which includes its dedicated artery, vein, and nerve supply. The service also covers the surgical closure of the donor site from which the flap was harvested. This is typically a preparatory step for transferring the flap to another body part via microvascular anastomosis.

When to Use

Use R067 when harvesting a free flap that specifically requires the inclusion of a dedicated nerve supply for sensory or motor reinnervation at the recipient site.
Use this code for the elevation phase of a microvascular free tissue transfer where the flap is defined by its vascular and neural pedicle, distinguishing it from simpler skin grafts or non-innervated flaps like R064 or R065.

Common Pitfalls

Billing R067 in conjunction with the recipient site reconstruction without accounting for the 15% reduction rule if the preparation and excision are performed by different surgeons.
Failing to distinguish between an innervated flap (R067) and a standard free island flap (R066); ensure the operative report explicitly details the dissection and isolation of the nerve supply to justify the higher fee.

Billing Tips

R067 is eligible for a second surgical assistant without prior authorization; ensure the second assistant is billed with suffix B to avoid rejection.
Always verify if the procedure qualifies for age-based premiums (e.g., AGE_PREMIUM_LT16Y) or trauma premiums (E420) as these are significant percentage-based add-ons for this high-value surgical code.

Have a specific question? Ask our billing assistant

Provider Fee$1,028.20

Surgical Assistant Fee$125.10

Anaesthetist Fee$154.90

Non-Anaesthetist Fee$154.90

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