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R074 – Defect more than 10 cm average diameter - other areas

OHIP Integumentary System Surgical Procedures Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

This service is for a skin flap procedure, specifically a rotation, transposition, or Z-plasty, to cover a defect with an average diameter exceeding 10 cm. It is applicable for procedures on areas of the body excluding the face, neck, or scalp. The service is classified as a surgical procedure and requires a suffix to denote the role of the physician: R074A for the surgeon, R074B for the assistant, and R074C for the anaesthesiologist. The fee for the surgeon is a set amount, while fees for the assistant and anaesthesiologist are calculated based on basic and time units (see and ). The procedure includes necessary undermining of the skin to facilitate closure, as noted on page of the Schedule (). Additional procedures, such as tendon grafts or inlay grafts, are not included and may be billed separately.

Includes undermining but will depend on the site and size.

The amount payable will depend on the size and location of the area grafted and the type of graft. Additional procedures other than the skin grafting are payable in addition to the skin flap or grafts, e.g. tendon grafts, inlay grafts, etc.

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