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R126
R126 – Preparation of microvascular recipient site for free island skin and muscle flap
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service involves the surgical preparation of the recipient site to receive a free island flap composed of skin and muscle. This includes the dissection and preparation of the recipient blood vessels (artery and vein) for subsequent microvascular anastomosis.
When to Use
- Use R126 specifically when preparing recipient vessels for a free island flap containing both skin and muscle components.
- Select R126 when the primary surgical objective is the microvascular dissection and preparation of recipient arteries and veins to facilitate a free tissue transfer.
Common Pitfalls
- Failing to apply the 15% reduction to the R126 fee when the excision of the lesion and the recipient site preparation are performed by different surgeons.
- Attempting to bill R126 in conjunction with other recipient site preparation codes (like R125 or R127) for the same anatomical site, which may trigger a duplicate service rejection.
Billing Tips
- Ensure the operative report explicitly details the microvascular dissection of both the artery and vein to support the R126 claim during a potential audit.
- If the procedure is performed on a patient under 16, remember to append the appropriate age-based premium to the R126 fee to maximize reimbursement.
Provider Fee$925.85
Surgical Assistant Fee$125.10
Anaesthetist Fee$154.90
Non-Anaesthetist Fee$154.90
Effective: April 1, 2025
Category
M. Integumentary System Surgical Procedures
Subcategory
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Integumentary System Surgical Procedures
When excision of the lesion and preparation of the recipient site are carried out by different surgeons, the preparation fees should be reduced by 15%.
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