< Billing codes

Billing code

R109A — Mastectomy, Radical Or Modified Radical (with Or Without Biopsy)

R109A is an OHIP billing code from the Schedule of Benefits. Mastectomy, Radical Or Modified Radical (with Or Without Biopsy). Fees: provider $780.00, specialist $0.00, assistant $77.46, anaesthetist $111.72, non-anaesthetist $111.72.

ProviderSpecialistAssistantAnaesthetistNon-anaesthetist
$780.00$0.00$77.46$111.72$111.72
Code
R109A
Description
Mastectomy, Radical Or Modified Radical (with Or Without Biopsy)
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