All codes
L212
L212 – L212
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L212 for the professional fee associated with the excision of a benign lesion, such as a skin tag or small fibroma, where the procedure is performed in a clinical setting.
- Apply this code when the lesion is removed via simple excision or curettage, distinguishing it from more complex procedures like Z102 which involve formal surgical excision of malignant or suspicious lesions.
Common Pitfalls
- Billing L212 in conjunction with a minor assessment code like A007 is often rejected unless the assessment is for a separate, unrelated clinical issue.
- Submitting L212 for the removal of multiple lesions in the same anatomical region without using the appropriate multiple procedure rules or the 'M' suffix can lead to automatic payment reductions.
Billing Tips
- Ensure the anatomical site is clearly documented in the claim, as L212 is frequently audited for site-specific frequency limits.
Provider Fee$10.34
Effective: April 1, 2018
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