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R158
R158 – Level 2 oncoplastic breast conserving lumpectomy or partial mastectomy for malignancy
OHIP Integumentary System Surgical Procedures Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Level 2 oncoplastic breast conserving lumpectomy or partial mastectomy for malignancy.
Payment Rules:
1. R158 is only eligible for payment when:
• a. resected breast volume exceeds 15% of ipsilateral breast parenchyma, or
• b. when the tumour is resected from the upper inner quadrant or the lower pole of the breast.
2. R158 is only eligible for payment when the operative report documents purposeful skin excision, glandular rotations, pre-emptive nipple recentralization, and de-epithelialization techniques that preserve the blood supply to the nipple-areolar complex and parenchyma.
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