What is OHIP billing code R081?

R081 is "Mohs micrographic surgery - Initial cut", an OHIP Integumentary System Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

How much does R081 pay?

The current OHIP fee for R081 is $315.45, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill R081 to OHIP?

R081 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R081 claims against the Schedule of Benefits rules before submission.

What codes are related to R081?

Codes related to R081 in the Schedule of Benefits include E524.

All codes

R081

R081 – Mohs micrographic surgery - Initial cut

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

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Mohs micrographic surgery is eligible for payment when rendered for a lesion that is a histologically confirmed cutaneous malignancy (including basal cell carcinoma, squamous cell carcinoma, malignant melanoma, lentigo maligna, dermatofibrosarcoma protuberans, sebaceous carcinoma, microcystic adnexal carcinoma, atypical fibroxanthoma, Merkel cell carcinoma, eccrine carcinoma, extramammary Paget's disease, leiomyosarcoma and primary cutaneous adenocarcinoma); and that meets one or more of the following conditions: a. a lesion with clinical margins greater than 1.5 cm; b. a lesion located in an anatomically sensitive area, in particular but not limited to the periocular, perinasal, perilabial, and periauricular surfaces, or the nose; c. a recurrent malignancy that has not responded to prior therapy; d. a malignant lesion in a patient with immunodeficiency or genodermatoses predisposing to widespread skin cancers, such as basal cell nevus syndrome; e. a histologically aggressive lesion (such as a basal cell carcinoma that is sclerosing, infiltrative, baso-squamous, or micronodular, or a squamous cell carcinoma that is poorly differentiated, or demonstrates peri-neural/lymphatic/vascular involvement) at any anatomic site.

The physician claiming R081 must have generally accepted specialized training in Mohs surgery.

The medical record must contain documentation of a histologically confirmed cutaneous malignancy.

The medical record must document that the lesion meets one of the required conditions (e.g., size, location, recurrence, histology).

All microscopic tissue sections must be personally reviewed and interpreted by the physician claiming R081.

The preparation of slides must be rendered or supervised by the physician claiming R081.

E524

1. R081 and E524 are eligible for payment only to physicians with generally accepted specialized training in Mohs surgery.

2. R081 is eligible for payment only when the preparation of slides is rendered or supervised by the physician claiming R081 and all microscopic tissue sections are personally reviewed and interpreted by the physician claiming R081. If a pathologist interprets or submits a claim for analyzing histological slides prepared by the physician claiming R081, R081 and E524 are not eligible for payment.

3. Closure of the resulting defect by undermining and advancement flaps is included in the above fees. If more complicated closure is necessary, the service may be eligible for payment using fee codes under skin flaps and grafts.

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