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R068
R068 – Preparation of microvascular recipient site for innervated free island skin and subcutaneous flap
OHIP Integumentary System Surgical Procedures Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Preparation of microvascular recipient site for innervated free island skin and subcutaneous flap. This is a major surgical procedure involving the meticulous preparation of the recipient area, including the identification and dissection of blood vessels (artery and vein) and a nerve, to which a transplanted flap will be attached via microvascular and neural anastomoses. This service includes all common and specific surgical elements as defined in the Schedule, such as pre-operative evaluation, the procedure itself, and immediate post-operative care.
If a second surgical assistant is required, a letter from the surgeon outlining the reason must be submitted for authorization by a medical consultant.
When performed by a Medical Trainee under supervision, the medical record must identify the Supervising Physician, the Medical Trainee and their level of training, a description of the service, patient consent, and be signed off by the Supervising Physician as per the rules outlined in .
Note: When excision of the lesion and preparation of the recipient site are carried out by different surgeons, the preparation fees should be reduced by 15%.
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