R847 – Stasis ulcer - with skin graft - per leg
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service is for the surgical management of a stasis ulcer, which includes the application of a skin graft. The fee is applicable on a per-leg basis. As a surgical procedure, this service includes all common and specific elements of surgical care as defined in the Schedule of Benefits (see , , ), including pre-operative and post-operative care. The fee for the surgeon is a flat rate, while fees for the assistant and anaesthetist are calculated using basic and time units.
When to Use
- Use R847 specifically when a skin graft is applied to a stasis ulcer; do not use for simple debridement or dressing changes.
- Apply this code on a per-leg basis when treating multiple distinct stasis ulcers on the same leg, as the fee is per-leg rather than per-ulcer.
- Use R847 when the procedure involves the surgical management of a stasis ulcer requiring skin grafting, distinguishing it from R845 which covers non-graft surgical management.
Common Pitfalls
- Billing R847 in addition to a consultation or assessment on the same day is a common rejection, as the surgical fee includes pre-operative and post-operative care.
- Attempting to bill R847 per ulcer rather than per leg will lead to claim adjustments or audit scrutiny for overbilling.
- Failure to document the specific graft type and the surgical necessity for the graft can lead to recovery of funds during a post-payment audit.
Billing Tips
- Ensure the claim clearly specifies the leg treated (e.g., left or right) to avoid confusion and potential rejection when billing for bilateral procedures.
- If the procedure is performed after hours or in a trauma setting, ensure the appropriate premium (E409, E410, or E420) is appended to the R847 claim to maximize the procedural fee.
Effective: April 1, 2025
M. Integumentary System Surgical Procedures
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Surgical
Integumentary System Surgical Procedures
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.