All codes
R132
R132 – Preparation of microvascular recipient site for free island bone flap
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Preparation of microvascular recipient site for free island bone flap.
When to Use
- Use R132 for the preparation of recipient vessels when the recipient site is anatomically distinct and separate from the primary ablative surgical site.
- Use R132 for elective reconstructive cases where the recipient site preparation is a standalone procedural step prior to the transfer of a free island bone flap.
Common Pitfalls
- Billing R132 in conjunction with R124 is a common error; these codes are mutually exclusive and will trigger an automatic rejection.
- Failing to distinguish between recipient site preparation (R132) and the actual flap transfer or inset procedure can lead to audit scrutiny regarding unbundling.
- Submitting R132 when the recipient vessels are located within the immediate field of the ablative resection, which should instead be billed under R124.
Billing Tips
- Ensure the operative report explicitly describes the dissection and isolation of recipient vessels to justify the R132 fee separate from the flap procedure.
- If the procedure is performed on a trauma patient, ensure the Injury Severity Score (ISS) is documented in the chart to support the E420 trauma premium.
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
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.