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L325

L325L325

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L325 when performing a simple excision of a skin lesion that is less than 2 cm in diameter.
  • Use this code for the removal of a single benign skin lesion, such as a skin tag or small seborrheic keratosis, when no complex closure is required.
  • Use L325 instead of minor surgery codes like Z001 if the procedure is strictly limited to the excision of a small, superficial lesion.

Common Pitfalls

  • Billing L325 in conjunction with a consultation or assessment code (A007) for the same patient on the same day is often rejected unless the excision is medically necessary and distinct from the assessment.
  • Attempting to bill L325 for multiple lesions on the same day often triggers audit flags; ensure you are using the appropriate multiple procedure rules if applicable.
  • Confusing L325 with more complex excision codes like Z325, which carries a higher fee for larger or more complex lesions.

Billing Tips

  • Ensure the lesion size is clearly documented in the chart, as L325 is specifically intended for lesions under 2 cm to avoid downcoding or rejection during an audit.
Provider Fee$6.14

Effective: April 1, 2018

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