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L175

L175L175

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L175 for the excision of a single benign lesion, such as a skin tag or small seborrheic keratosis, when no complex reconstruction is required.
  • Select L175 when performing a simple shave or scissor excision of a superficial lesion that does not necessitate the depth or complexity associated with Z001 or Z002.

Common Pitfalls

  • Billing L175 in conjunction with a minor assessment code like A007 is often rejected unless the assessment is for a separate, unrelated clinical issue.
  • Submitting L175 for multiple lesions on the same day will trigger a reduction or rejection; use the appropriate multiple procedure rules or consider if a different procedural code is more accurate for the total volume.

Billing Tips

  • If the lesion requires a full-thickness excision with closure, bill the appropriate Z-code instead of L175 to reflect the higher complexity of the procedure.
Provider Fee$20.68

Effective: July 1, 2010

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