All codes
R130
R130 – Transplantation of free island muscle flap with tendon, nerve and microvascular anastomosis(es)
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Transplantation of a free island muscle flap with tendon, nerve, and microvascular anastomosis(es). This procedure involves attaching a harvested muscle flap to a new recipient site by connecting its artery and vein(s) to the local blood vessels. It also includes the coaptation of the flap's nerve and attachment of the tendon.
When to Use
- Use R130 specifically for free tissue transfers where the muscle flap requires both neurotization and tendon attachment in addition to microvascular anastomosis.
- Select R130 when the complexity of the reconstruction exceeds standard free flap codes like R128 or R129 due to the inclusion of integrated tendon and nerve coaptation.
Common Pitfalls
- Billing R130 when the procedure does not include all three components—tendon, nerve, and microvascular anastomosis—risks audit recovery for over-coding.
- Failing to document the specific nerve coaptation and tendon attachment sites in the operative report is a frequent cause of claim rejection during post-payment audits.
Billing Tips
- Ensure the operative note explicitly details the microvascular technique, the specific nerve repaired, and the tendon attachment method to justify the higher complexity of R130 over simpler flap codes.
Provider Fee$1,183.50
Surgical Assistant Fee$125.10
Anaesthetist Fee$154.90
Non-Anaesthetist Fee$154.90
Effective: April 1, 2025
Since Apr 2004, this fee has increased 5.0% vs 57.0% 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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