All codes
R142
R142 – Nipple-areola tattooing - unilateral
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
A surgical procedure involving the tattooing of the nipple-areola complex on one side (unilateral). This service is listed under the 'Post-mastectomy breast reconstruction' heading in the Schedule of Benefits. The Schedule lists 'Asst: nil' and 'Anae: nil', indicating assistant and anaesthesia services are not eligible for payment with this code.
When to Use
- Use R142 for the unilateral application of nipple-areola complex tattooing specifically as the final stage of post-mastectomy breast reconstruction.
- Use R142 when performing a single-sided procedure; if tattooing both sides in the same session, bill R142 with the appropriate bilateral indicator or quantity modifier as per the Schedule of Benefits.
Common Pitfalls
- Billing R142 for cosmetic nipple tattooing unrelated to post-mastectomy reconstruction will lead to rejection or recovery during audit.
- Attempting to bill an assistant fee or anaesthesia premium with R142 is a common error, as these are explicitly excluded by the Schedule.
Billing Tips
- Ensure the clinical record clearly links the procedure to a prior mastectomy to justify the post-reconstruction context required for this code.
Provider Fee$175.00
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.