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R127 – Transplantation of free island skin and muscle flap with microvascular anastomosis(es)

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

Transplantation of free island skin and muscle flap with microvascular anastomosis(es). This procedure is part of a series for free island flap reconstruction, which often includes elevation of the flap (e.g., R125) and preparation of the recipient site (e.g., R126). Assistant and Anaesthetist Fees: • **Assistant Fee (R127B):** The fee is calculated based on basic and time units as described in the Schedule of Benefits on page . • **Anaesthetist Fee (R127C):** The fee is calculated based on basic and time units as described in the Schedule of Benefits on pages and . Additional units may apply based on patient factors (e.g., age, BMI) as listed on page .

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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