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R125
R125 – Elevation of free island skin and muscle flap and closure of defect
OHIP Integumentary System Surgical Procedures Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This surgical service covers the elevation of a free island flap composed of both skin and muscle tissue from a donor area. The procedure also includes the closure of the defect created at the donor site. This flap is typically prepared for subsequent microvascular transplantation to a recipient site.
• The surgeon's fee (suffix A) is a flat rate.
• The surgical assistant's fee (suffix B) is calculated based on basic and time units. Time is determined per operation as the total of time spent by the physician in direct contact with the patient in the operating room prior to scrub time to assist with patient preparation, and time spent by the physician assisting at the patient's surgery starting with scrub time and ending when the physician is no longer required to be in attendance with that patient. Time units are calculated for each 15 minutes or part thereof. The unit value of each 15 minute period or part thereof is: 1 unit during the first hour or less; 2 units after the first hour up to and including the first 1.75 hours; 3 units after 1.75 hours ().
• The anaesthesiologist's fee (suffix C) is calculated based on basic and time units. Time is calculated from when the anaesthesiologist is first in attendance until they are no longer required, with 1 unit per 15 minutes for the first hour, 2 units per 15 minutes after the first hour up to 1.5 hours, and 3 units per 15 minutes after 1.5 hours ().
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