All codes
R078
R078 – Pedicle flap - each subsequent stage
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service represents each subsequent stage required for a large pedicle flap procedure. It follows the initial creation of a large flap (e.g., cross leg, deltopectoral, forehead flap) as described under billing code R080. This may involve dividing and setting in the flap or other follow-up surgical interventions.
When to Use
- Use R078 for the secondary stage of a pedicle flap procedure, such as the division and inset of a deltopectoral or cross-leg flap previously initiated under R080.
- Apply this code for subsequent surgical revisions or adjustments required to finalize the pedicle flap after the initial R080 procedure has been performed.
Common Pitfalls
- Billing R078 as a primary procedure code; it is strictly intended for subsequent stages following the initial R080 flap creation.
- Submitting R078 for minor wound care or dressing changes that do not constitute a formal surgical stage of the pedicle flap reconstruction.
Billing Tips
- Ensure the claim for R078 clearly references the date of the initial R080 procedure in the notes to justify the subsequent stage and prevent automatic rejection.
Provider Fee$311.45
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
Effective: April 1, 2025
Category
M. Integumentary System Surgical Procedures
Subcategory
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Integumentary System Surgical Procedures
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