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R156 – Breast mound creation by insertion of tissue expander

OHIP Integumentary System Surgical Procedures Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

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Breast mound creation by insertion of a tissue expander is a surgical repair procedure performed as part of post-mastectomy breast reconstruction. The service includes the creation of a submuscular pocket for the expander. It is eligible for an add-on fee (E514) when performed immediately following a mastectomy during the same anaesthetic session. This procedure is not payable with Z132.
R119R118E529E513R125R064R008R155E514Z132R114R120R142R143R144R110R112

Z132 is not eligible for payment with R156.

E514 is only eligible for payment if post-mastectomy breast reconstruction is performed immediately following mastectomy during the same anaesthesia.

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