What is OHIP billing code R075?

R075 is "Rotations, transpositions, Z-plasties - other areas - Defect 2.1 to 5 cm average diameter", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R075 pay?

The current OHIP fee for R075 is $223.35, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill R075 to OHIP?

R075 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R075 claims against the Schedule of Benefits rules before submission.

What codes are related to R075?

Codes related to R075 in the Schedule of Benefits include R045, R072, R046, R047, R073, R076, R074, R011.

All codes

R075

R075 – Rotations, transpositions, Z-plasties - other areas - Defect 2.1 to 5 cm average diameter

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

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A surgical procedure involving rotations, transpositions, or Z-plasties to repair a skin defect with an average diameter between 2.1 cm and 5 cm. This code applies to procedures performed on areas of the body other than the face, neck, or scalp. The service includes undermining of the skin flap as noted on page :. The amount payable depends on the size and location of the area grafted and the type of graft. Additional procedures other than the skin grafting (e.g., tendon grafts, inlay grafts) are payable in addition to the skin flap or graft. For sentinel node biopsy, refer to Z427.

When to Use

Use R075 for Z-plasty, transposition, or rotation flap repairs on the trunk or extremities when the defect diameter is between 2.1 cm and 5 cm.
Select R075 when the procedure involves significant undermining to mobilize local tissue to cover a defect, distinguishing it from simple primary closure codes.

Common Pitfalls

Do not use R075 for procedures on the face, neck, or scalp; these require specific facial flap codes in the R040-R049 range.
Avoid billing R075 for simple excisions or primary closures; the code specifically requires the technical complexity of a rotation, transposition, or Z-plasty flap.
Ensure the defect size is accurately measured; if the average diameter is 2.0 cm or less, you must use R074 instead.

Billing Tips

If performing an excision for a tumour with frozen section analysis, remember to append E540 to R075 to increase the surgical fee by 25%.
Always document the specific type of flap (rotation, transposition, or Z-plasty) and the final defect dimensions in the operative report to support the use of this specific code during potential audits.

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Provider Fee$223.35

Surgical Assistant Fee$75.06

Anaesthetist Fee$92.94

Non-Anaesthetist Fee$92.94

Effective: April 1, 2025

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