R136

Transplantation of free island skin and bone flap with microvascular anastomosis(es) and bone fixation

Fee

ComponentValue
Provider fee$1,048.60
Assistant, listing; PDF p. 57210 basic units
Anaesthesia, listing; PDF p. 57210 basic units
Schedule and sources
Fee edition
October 1, 2026
Record effective
2026-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 572 / M22

Transplantation of free island skin and bone flap with microvascular anastomosis(es) and bone fixation ............. 10 1048.60 10
Passages mentioning R136

PDF page 104 / GP90

SECOND ASSISTANT
Payment rules:
When more than one assistant was required for a surgical procedure, unless the service is listed
below, the second assistant’s service is only eligible for payment following authorization by a medical
consultant and requires submission of a letter from the surgeon outlining the reason the second
assistant was required. The amount payable for the second assistant is calculated in the same
manner as the amount payable for the first assistant.
Services where a second assistant's services are payable and authorization is not required:
D043, D046, D047, D052, D060, E645, F135, M112, M117, M134, M142, N539, N540, P042, P051,
P052, P056, P059, R008, R009, R013, R014, R015, R016, R055, R056, R064, R065, R067, R069,
R134, R135, R136, R140, R182, R240, R241, R244, R326, R327, R334, R393, R438, R440, R441,
R483, R487, R545, R553, R568, R593, R594, R617, R645, R701, R702, R704, R712, R713, R714,
R715, R718, R726, R727, R728, R729, R732, R733, R734, R735, R737, R739, R742, R743, R746,
R747, R749, R764, R770, R771, R772, R773, R774, R786, R799, R800, R801, R802, R803, R804,
R811, R815, R817, R818, R830, R832, R858, R863, R870, R872, R874, R876, R927, R929, R920,
R930, S005, S007, S079, S090, S091, S092, S096, S098, S099, S120, S125, S189, S210, S211,
S213, S214, S267, S270, S271, S274, S275, S294, S295, S298, S300, S321, S416, S429, S440,
S441, S453, S454, S462, S484, S750, S757, S758, S759, S816
       [Commentary:
       E003B is not eligible for payment for second assistant services.]
Fee master record

Master, record 4391. Record Layout PDF, page 1.

R13620260401999999990001048600000001291000000000000000000159600000001596000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.

FieldRaw / scale 10,000
provider00010486000 / 1048.6
assistant00001291000 / 129.1
specialist00000000000 / 0
anaesthetist00001596000 / 159.6
non anaesthetist00001596000 / 159.6
Explanation

AI-generated. Unreviewed.

Moving a free island skin and bone flap to a new site, joining its small blood vessels (microvascular anastomosis), and fixing the bone. This is under Free Island Flaps in Skin and Subcutaneous Tissue, within Integumentary System Surgical Procedures.

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
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