All codes
L525
L525 – L525
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L525 for the excision of a malignant lesion of the skin or subcutaneous tissue where the lesion size is between 2.1 cm and 3.0 cm in diameter.
- Select L525 instead of L524 when the measured diameter of the lesion exceeds 2.0 cm but remains under 3.1 cm.
Common Pitfalls
- Billing L525 for a benign lesion excision, which must instead be billed under the A-series minor surgery codes.
- Failing to include the pathology report reference or the specific anatomical site in the claim, which frequently triggers manual review or rejection for lesion size verification.
- Attempting to claim L525 in conjunction with a consultation or assessment code on the same day without a valid diagnostic code indicating a separate, unrelated clinical issue.
Billing Tips
- Ensure the lesion diameter is measured and documented at the time of excision, as auditors prioritize the clinical measurement over the final pathology report size due to tissue shrinkage.
- If performing a complex reconstruction or flap closure following the excision, bill the appropriate repair code in addition to L525, ensuring the excision is the primary procedure.
Provider Fee$103.40
Effective: July 1, 2010
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.