All codes
R114
R114 – Revision of breast mound
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Revision of a breast mound is a surgical procedure performed to alter, adjust, or correct a previously created breast mound. This procedure is typically performed as a component of post-mastectomy breast reconstruction to refine the aesthetic outcome.
When to Use
- Use R114 for secondary aesthetic refinements, such as scar revision or contour adjustment, on a breast mound previously reconstructed via mastectomy.
- Use R114 when performing a minor surgical correction to a breast mound that does not involve the complexity of a flap transfer or major tissue rearrangement.
Common Pitfalls
- Billing R114 for primary breast reconstruction procedures, which should instead be coded under specific flap reconstruction codes.
- Confusing R114 with R110 (reduction mammoplasty) or R112 (augmentation mammoplasty); R114 is specifically for post-mastectomy revision, whereas R110/R112 are for non-reconstructive indications.
- Failing to secure prior authorization from the Ministry, which is a mandatory requirement for this code.
Billing Tips
- Ensure the operative report clearly distinguishes the revision from the initial reconstruction to justify the use of R114 over primary reconstruction codes.
- If the revision is performed bilaterally, ensure the claim reflects the appropriate bilateral billing rules to avoid automatic rejection.
Provider Fee$230.30
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
Effective: April 1, 2025
Since Oct 2005, this fee has increased 0.0% vs 51.4% CPI inflation
Category
M. Integumentary System Surgical Procedures
Subcategory
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Integumentary System Surgical Procedures
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