How much does R141 pay?

The current OHIP fee for R141 is $617.10, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill R141 to OHIP?

R141 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R141 claims against the Schedule of Benefits rules before submission.

What codes are related to R141?

Codes related to R141 in the Schedule of Benefits include R138, R139.

All codes

R141

R141 – Preparation of microvascular recipient site for free toe or finger transplant immediately following ablative surgery

OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

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This service involves the preparation of a microvascular recipient site for a subsequent free toe or finger transplant. The key conditions for this code are that the preparation must occur immediately following an ablative surgery, and the recipient vessels must be located within the site of that ablation. Payment is calculated using a base surgical fee for the surgeon (suffix A), and a unit-based system for the assistant (suffix B) and anaesthesiologist (suffix C).

When to Use

Use R141 specifically for the microvascular preparation of recipient vessels immediately following an ablative procedure for a free toe or finger transplant.
Select R141 when the recipient site is within the same anatomical area as the primary ablation, ensuring the preparation is integral to the immediate reconstructive plan.

Common Pitfalls

Billing R141 without clear documentation of the immediate temporal link to the ablative surgery will trigger a rejection or audit.
Failing to apply the mandatory 15% reduction when the excision and the recipient site preparation are performed by different surgeons is a frequent compliance error.
Attempting to bill R141 for elective or delayed reconstruction, which falls outside the scope of this code's 'immediately following' requirement.

Billing Tips

Ensure the operative report explicitly details the microvascular preparation steps to justify the R141 fee, as it is distinct from standard soft tissue debridement.
If a second assistant is required, you must obtain prior authorization from a medical consultant, as R141 is not on the pre-approved list for second assistant billing.

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Provider Fee$617.10

Surgical Assistant Fee$125.10

Anaesthetist Fee$154.90

Non-Anaesthetist Fee$154.90

Effective: April 1, 2025

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