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L116

L116L116

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L116 for the excision of a single benign lesion, such as a skin tag or small seborrheic keratosis, that does not require formal closure or complex tissue handling.
  • Select L116 when performing a simple shave or snip excision of a lesion where the primary intent is removal rather than diagnostic biopsy (which would be billed under Z402).
  • Apply L116 for minor dermatological procedures that fall outside the scope of a standard office visit (A007) but do not meet the complexity criteria for Z403 or Z404.

Common Pitfalls

  • Billing L116 in addition to a minor assessment (A007) on the same day is often rejected unless the assessment is for a separate, unrelated clinical issue.
  • Attempting to bill L116 multiple times for the same lesion is incorrect; use the appropriate multiple-lesion modifiers or higher-tier excision codes if the procedure complexity increases.
  • Confusing L116 with diagnostic biopsy codes like Z402, which carries different requirements regarding the submission of pathology specimens.

Billing Tips

  • Ensure the clinical note clearly describes the lesion size and the specific removal technique used to justify L116 over a standard consultation or assessment code.
  • If removing multiple lesions, verify if the specific OHIP schedule allows for cumulative billing or if a different procedural code is required to avoid automatic rejection.
Provider Fee$20.68

Effective: July 1, 2010

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