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L305
L305 – L305
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L305 for the excision of a single benign lesion, such as a skin tag or small seborrheic keratosis, when the procedure is performed in a clinical setting.
- Select L305 instead of L300 when the lesion is benign and does not require the more extensive surgical intervention associated with the higher-valued excision codes.
Common Pitfalls
- Billing L305 in conjunction with a minor procedure code like G538 is often rejected as the minor procedure is considered inclusive of the lesion removal.
- Submitting L305 for multiple lesions on the same day without using the appropriate diagnostic codes or procedure modifiers will lead to automatic rejection for duplicate service.
Billing Tips
- Ensure the pathology report or clinical notes clearly document the benign nature of the lesion to justify the use of L305 over more complex excision codes.
Provider Fee$15.51
Effective: April 1, 2018
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