OHIP fee codeR117

skin sparing mastectomy performed with immediate breast reconstruction for malignancy or prophylaxis in high-risk female patients

INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · EXCISION

$495.00

What this reference tells you

R117 identifies the Ontario insured service described as “skin sparing mastectomy performed with immediate breast reconstruction for malignancy or prophylaxis in high-risk female patients.” The listed fee and rules are reference data; the clinical record must support the service actually performed.

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Confirm the current Ministry publication, the patient and provider context, the date of service, and documentation supporting the claim. A searchable reference does not establish eligibility or guarantee payment.

Before using this code

Take the code from reference to reviewed claim.