R150 – Very minor plastic surgery procedure
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This code represents a very minor plastic surgery procedure. It is part of a series (R150 to R154) used to classify plastic surgery procedures based on their complexity from very minor to extensive major. A descriptive operative report must be submitted for professional assessment of the claim. Specific use case: - Taking of skin by a surgeon for grafting by an Oral Surgeon is claimed as R150.
When to Use
- Use for the harvesting of skin grafts when performed by a surgeon for subsequent use by an Oral Surgeon.
- Use for minor plastic surgical procedures that do not fit into specific defined codes but fall within the 'very minor' complexity tier.
- Use as a placeholder for minor reconstructive or plastic procedures that require professional assessment via an operative report.
Common Pitfalls
- Claims will be rejected if submitted by physicians in General/Family Practice (00) or Emergency Medicine (12).
- Do not use this code for laceration repairs; these must be billed using the specific laceration repair codes in the Integumentary section.
- Failure to attach a detailed operative report will lead to claim rejection, as the Ministry requires this for professional assessment of the complexity.
Billing Tips
- Always include a concise, descriptive operative note with the claim to justify the 'very minor' classification and avoid manual review delays.
- If the procedure is more complex than 'very minor', evaluate R151 through R154 before defaulting to R150.
Effective: April 1, 2025
M. Integumentary System Surgical Procedures
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Surgical
Integumentary System Surgical Procedures
Descriptive details of procedure (e.g. operative report) should be submitted with claims for professional assessment.
Descriptive details of procedure (e.g. operative report) should be submitted with claims for codes R150 - R154 for professional assessment.
Taking of skin by a surgeon for grafting by an Oral Surgeon - claim as R150.
R150, R151, R152, R153, and R154 are not eligible for payment for the repair of any laceration(s). See repair of laceration services in the Integumentary System Surgical Procedures section of this Schedule.
R150, R151, R152, R153, and R154 are not eligible for payment to physicians in the following specialties: General and Family Practice (00) and Emergency Medicine (12).
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