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R137
R137 – Elevation of free toe or finger and closure of defect
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Elevation of free toe or finger and closure of defect. This procedure is a component of microsurgical free tissue transfer, where a digit (toe or finger) is harvested for transplantation to another site, often as part of a complex reconstruction.
When to Use
- Use R137 when performing the specific microsurgical elevation of a free toe or finger for the purpose of a free tissue transfer reconstruction.
- Use R137 as the primary procedural code for the donor site harvest when the digit is being detached and prepared for transplantation to a distant site.
Common Pitfalls
- Do not bill R137 in conjunction with simple amputation codes like R013 or R014, as R137 specifically covers the microsurgical elevation and defect closure required for transfer.
- Avoid billing R137 if the procedure is merely a standard amputation without the intent and technical requirements of a microsurgical free tissue transfer.
- Failure to document the microsurgical nature of the elevation can lead to audit rejections, as the fee reflects the complexity of the dissection and vascular preparation.
Billing Tips
- Ensure that the recipient site procedure is billed separately using the appropriate reconstruction or transfer code, as R137 only covers the donor site elevation.
Provider Fee$1,048.60
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
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