OHIP Billing Codes

Specialty: Operations Of The Breast

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Code Description Fee

Complete Study - 1 and 2 dimensions

G571 Professional component $96.20
G570 Technical component $118.95

COVID-19 Immunization

G593 COVID-19 vaccine $13.00

Excision

R505 Ankle - Metatarsal/phalangeal $144.80
R108 Mastectomy - female (with or without biopsy) - simple $330.00
R117 Mastectomy - female (with or without biopsy) - subcutaneous with nipple preservation $273.95
R148 Mastectomy - male - Unilateral for treatment of pathological male breast disease (with or without biopsy), e.g. carcinoma - simple $273.95
R149 Mastectomy - male - Unilateral for treatment of pathological male breast disease (with or without biopsy), e.g. carcinoma - subcutaneous with nipple preservation $273.95
R146 Mastectomy - male (benign) - simple $177.50
R147 Mastectomy - male (benign) - subcutaneous with nipple preservation $273.95

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R109 Mastectomy, radical or modified radical (with or without biopsy) $685.00
R111 Partial mastectomy or wedge resection for treatment of breast disease, with or without biopsy, e.g. carcinoma or extensive fibrocystic disease $269.40
R107 Tumour or tissue for diagnostic biopsy and/or treatment, e.g. carcinoma, fibroadenoma or fibrocystic disease (single or multiple same breast) $169.95

Incision

Z139 Aspiration of cyst - one or more $37.20
Z740 Drainage of intramammary abscess or haematoma - Single or multiloculated generalanaesthetic $133.80
Z140 Drainage of intramammary abscess or haematoma - Single or multiloculated local anaesthetic $33.00
Z143 Needle biopsy - large core breast biopsy (14 gauge or larger bore needle) $132.75
Z141 Needle biopsy - one or more $37.20

Repair

R112 Augmentation mammoplasty unilateral $350.00
Z182 Breast capsulectomy $255.05
R156 Breast mound creation by insertion of tissue expander, includes creation of submuscular pocket $425.00
R118 Breast skin reconstruction by local flaps or grafts, includes Wise pattern skin flaps and deepithelialized skin flaps $405.60
R144 Contralateral balancing augmentation mammoplasty $350.00
R143 Contralateral balancing mastopexy or reduction, to include nipple transplantation or grafting, if rendered $472.15
R120 Nippleareola reconstruction by grafts and/or flaps $300.00
R142 Nippleareola tattooing unilateral $175.00
Z135 Open capsulotomy with or without replacement of breast prosthesis $195.95
R119 Post-mastectomy breast reconstruction - Breast mound creation by prosthesis as sole procedure $350.00
R110 Reduction mammoplasty and augmentation mammoplasty (other than post-mastectomy breast reconstruction) - Reduction mammoplasty (female, to include nipple transplantation or grafting, if rendered) unilateral $472.15
Z142 Removal of breast prosthesis $150.00
R114 Revision of breast mound $230.30

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.

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