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L174

L174L174

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L174 for the excision of a single benign lesion, such as a skin tag or small seborrheic keratosis, when performed via simple excision.
  • Select L174 when the procedure involves the removal of a single lesion that does not require the complexity of a formal excision with layered closure, which would instead be billed under the G-code series for minor surgery.

Common Pitfalls

  • Billing L174 in conjunction with an office visit fee (A007) is generally disallowed unless the excision is performed for a separate, unrelated clinical issue documented with a distinct diagnosis code.
  • Submitting L174 multiple times for the same patient encounter is often flagged; use the appropriate multiple lesion modifiers or higher-value excision codes if removing multiple lesions in one session.

Billing Tips

  • Ensure the clinical note explicitly describes the lesion's nature and the method of removal to justify L174 over a simple diagnostic assessment code.
Provider Fee$15.51

Effective: July 1, 2010

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