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R845
R845 – Multiple ligation and skin graft - per leg
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Surgical procedure for the treatment of a stasis ulcer on a single leg, which includes multiple ligations and the application of a skin graft. The fee for the surgeon (suffix A) is a flat rate. Fees for the assistant (suffix B) and anaesthetist (suffix C) are calculated based on basic and time units. This service is payable on a per-leg basis.
When to Use
- Use R845 specifically for the surgical management of a stasis ulcer involving both multiple ligations and a skin graft on a single leg.
- Select R845 when the procedure is performed on one leg; if both legs require this specific surgical intervention, bill R845 twice with the appropriate diagnostic codes for each limb.
Common Pitfalls
- Billing R845 in conjunction with other minor wound debridement or dressing codes is often flagged as unbundling; ensure the service meets the full definition of multiple ligations plus grafting.
- Failing to specify the laterality (left or right) in the claim submission will trigger an automatic rejection for this per-leg procedure.
Billing Tips
- Since R845 is a flat-rate fee for the surgeon, ensure that any additional surgical assistant or anaesthetist time is documented and billed separately using the appropriate suffix and time units to capture the full value of the case.
Provider Fee$341.55
Surgical Assistant Fee$75.06
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Category
M. Integumentary System Surgical Procedures
Subcategory
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Integumentary System Surgical Procedures
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