OHIP fee codeR158

Level 2oncoplastic breast conserving lumpectomy or partial mastectomy for malignancy

INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · OPERATIONS OF THE BREAST

$547.45

What this reference tells you

R158 identifies the Ontario insured service described as “Level 2oncoplastic breast conserving lumpectomy or partial mastectomy for malignancy.” The listed fee and rules are reference data; the clinical record must support the service actually performed.

Loaded billing requirements

4.R158 is only eligible for payment when the operative report documents purposeful skin excision, glandular rotations, pre-emptive nipple recentralization, and de-epithelialization techniques that preserve the blood supply to the nipple-areolar complex and pa...

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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.

Loaded billing requirements

Before using this code

Take the code from reference to reviewed claim.