Multiple flaps (non z-plasty flaps) are claimed at 100% of the listed benefit for the first and 75% of the listed benefit for each subsequent flap. A donor defect resulting from a major flap, which requires a skin graft or pedicle flap greater than 5 cms is claimed at 75% of the listed benefit.

Benefits for tissue resection required prior to reconstruction may be claimed in addition to the benefits for reconstruction. The greater benefit may be claimed at 100% and the lesser at 75%. Only one tissue resection benefit may be claimed per anatomical area.