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R085
R085 – Minor, medium sized areas
OHIP Integumentary System Surgical Procedures Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
R085 is a fee code for a surgical procedure from the Integumentary System section of the OHIP Schedule of Benefits. The description is 'Minor, medium sized areas, e.g. small or skin ulcer, breast, etc'. The fee for the surgeon is payable with suffix A. Assistant (B) and Anaesthetist (C) services are also payable and their fees are calculated based on basic units and time units as outlined in the General Preamble.
All insured services must be documented in appropriate records to establish that:
1. an insured service was provided;
2. the service for which the account is submitted is the service that was rendered; and
3. the service was medically necessary.
The medical record must demonstrate the appropriateness of code claimed relative to size.
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