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R118 – Breast skin reconstruction by local flaps or grafts

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

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Breast skin reconstruction by local flaps or grafts is a surgical procedure performed for post-mastectomy breast reconstruction. The service involves creating skin coverage for the breast area using local tissue flaps, which may specifically involve Wise pattern skin flaps and de-epithelialized skin flaps. This procedure is a component of breast mound reconstruction and may be combined with other techniques for a complete restoration. The service is eligible for assistant and anaesthesia services, which are calculated based on basic units plus time units as described in the General Preamble (, ).
R119R156R125R064R008R155E529E513E514

E513 is not eligible for payment with E529.

E514 is only eligible for payment if post-mastectomy breast reconstruction is performed immediately following mastectomy during the same anaesthesia.

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