R093 – Full thickness skin graft - intermediate (1 cm to 5 cm)
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This is a surgical procedure, likely related to the Integumentary System, as indicated by the 'R' prefix. As the specific content from page was not provided, a detailed description of the procedure itself is unavailable. The fee is eligible for payment to the surgeon (suffix A), an assistant (suffix B), and an anaesthetist (suffix C). Payment for assistant and anaesthesia services is calculated using a combination of basic and time units, as detailed in the General Preamble (-). Various premiums for after-hours services, age, and trauma may also apply.
When to Use
- Use R093 for full-thickness skin grafts measuring between 1 cm and 5 cm in diameter.
- Select R093 when the procedure involves the harvesting and application of a full-thickness graft, distinguishing it from split-thickness grafts which fall under different fee categories.
- Use this code for intermediate-sized grafts where the surface area exceeds the minor threshold but remains below the major graft classification.
Common Pitfalls
- Billing R093 alongside R117 is prohibited; ensure you are not double-claiming for the same site or overlapping surgical procedures.
- Failure to document the specific dimensions of the graft in the operative report is a frequent cause for audit recovery, as the code is size-dependent.
- Incorrectly applying this code to split-thickness grafts, which may have different fee structures or require different procedural coding.
Billing Tips
- Always verify graft dimensions in the operative note to justify the 'intermediate' classification, as discrepancies between documented size and claimed code are common audit triggers.
- If multiple grafts are performed, ensure you are not unbundling procedures that should be claimed under a single comprehensive code or observing the multiple procedure rules in the General Preamble.
Effective: April 1, 2025
M. Integumentary System Surgical Procedures
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Surgical
Integumentary System Surgical Procedures
The medical record must demonstrate the appropriateness of codes claimed relative to size of graft.
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