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L118

L118L118

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L118 for the excision of a single benign lesion, such as a skin tag, fibroma, or small cyst, where the lesion is removed via simple excision or curettage.
  • Select L118 when the procedure is performed as a standalone service, as it is not eligible for payment when billed with a minor assessment code like A007 on the same day.

Common Pitfalls

  • Billing L118 in conjunction with a general assessment code (A001, A007) for the same patient on the same day will result in an automatic rejection of the procedure code.
  • Attempting to bill L118 for multiple lesions by repeating the code will trigger a rejection; use the appropriate multiple-lesion modifiers or secondary codes if the Schedule of Benefits permits.

Billing Tips

  • If the procedure is performed during a visit where a consultation (A005) or specific assessment is required, you must bill the assessment as the primary service and the L118 as a secondary service, noting that the L118 will be paid at 50% if the assessment is also paid.
Provider Fee$46.53

Effective: July 1, 2010

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