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Billing code

R054A — Group 4 - Other Lesions - Pilonidal Cyst - Simple Excision Or Marsupialization, If Patient's Bmi Greater Than 40

R054A is an OHIP billing code from the Schedule of Benefits. Group 4 - Other Lesions - Pilonidal Cyst - Simple Excision Or Marsupialization, If Patient's Bmi Greater Than 40. Fees: provider $273.90, specialist $0.00, assistant $77.46, anaesthetist $95.76, non-anaesthetist $95.76.

ProviderSpecialistAssistantAnaesthetistNon-anaesthetist
$273.90$0.00$77.46$95.76$95.76
Code
R054A
Description
Group 4 - Other Lesions - Pilonidal Cyst - Simple Excision Or Marsupialization, If Patient's Bmi Greater Than 40
FHO+ basket
Not in the FHO+ base rate basket (Schedule 2 or 2B).
Effective date
Apr 1, 2026
Termination date
No end date

APEX checks every paid claim against the Schedule of Benefits and flags codes billed below what the visit qualified for. See how APEX works · Pricing