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R153
R153 – Major plastic surgery procedure
OHIP Integumentary System Surgical Procedures Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Major plastic surgery procedure, as classified by the responsible specialist. This service is part of a series of codes (R150-R154) for plastic surgical procedures, categorized by complexity.
Requirements:
• A descriptive operative report must be submitted with the claim for professional assessment.
Restrictions:
• Not eligible for payment for the repair of any laceration(s).
• Not eligible for payment to physicians in General and Family Practice (00) or Emergency Medicine (12) specialties.
Billing Information:
• Surgeon (A): Fee-for-service.
• Assistant (B): Calculated fee based on 6 base units plus time units. See - for calculation rules.
• Anaesthetist (C): Calculated fee based on 7 base units plus time units. See - for calculation rules.
Descriptive details of procedure (e.g. operative report) should be submitted with claims for codes R150 - R154 for professional assessment.
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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