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L420

L420L420

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L420 when performing a simple incision and drainage of a superficial abscess, boil, or furuncle that does not require extensive surgical debridement.
  • Use L420 for the drainage of a paronychia or a localized infected hematoma when the procedure is limited to a simple stab incision.

Common Pitfalls

  • Billing L420 in addition to a minor assessment code like A007 is often rejected unless the assessment is for an unrelated condition, as the assessment is considered included in the procedure.
  • Attempting to bill L420 for complex abscesses requiring deep tissue debridement or packing will lead to underpayment; use S060 or appropriate surgical codes for those cases.

Billing Tips

  • If the procedure requires a sterile tray, ensure you bill the appropriate tray fee (e.g., E409) alongside L420 to recover supply costs.
Provider Fee$10.34

Effective: July 1, 2010

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