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R914
R914 – Limited resection of axillary or inguinal lymph nodes, unilateral
OHIP Radiology Code — HAEMATIC AND LYMPHATIC SURGICAL PROCEDURES · Schedule of Benefits
Limited unilateral resection of axillary or inguinal lymph nodes. This procedure is a surgical excision and is eligible for surgeon (suffix A), assistant (suffix B), and anaesthetist (suffix C) fees. Assistant and anaesthetist fees are calculated using base units plus time units as defined in the - sections of the Schedule.
When to Use
- Use R914 for a limited, unilateral excision of axillary or inguinal lymph nodes when the procedure is less extensive than a formal radical lymph node dissection.
- Use this code for diagnostic or therapeutic node sampling where the surgical intent is limited to a specific basin rather than a comprehensive clearance.
Common Pitfalls
- Billing R914 bilaterally is not permitted; if both sides are performed, you must use the appropriate bilateral modifier or check if a different code is required for bilateral procedures.
- Do not bill R914 in conjunction with a more extensive radical dissection code for the same site, as this constitutes unbundling.
- Failure to document the specific 'limited' nature of the resection can lead to audit scrutiny if the claim is compared against more complex lymphadenectomy codes.
Billing Tips
- Ensure the operative report clearly distinguishes the procedure as a 'limited resection' to support the use of R914 over more comprehensive surgical codes.
- If a second assistant is required for this procedure, you must obtain prior authorization from a medical consultant, as R914 is not on the pre-approved list for secondary assistance.
Provider Fee$310.95
Surgical Assistant Fee$77.46
Anaesthetist Fee$95.76
Non-Anaesthetist Fee$95.76
Effective: April 1, 2026
Category
R. Haematic and Lymphatic Surgical Procedures
Subcategory
HAEMATIC AND LYMPHATIC SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Haematic and Lymphatic Surgical Procedures
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