All codes
L531
L531 – L531
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L531 for the excision of a single benign lesion, such as a skin tag or small seborrheic keratosis, when the procedure is performed via simple excision.
- Select L531 when performing a biopsy or excision of a lesion that does not require the complexity of a formal surgical excision code like S060 or S061.
Common Pitfalls
- Billing L531 in conjunction with a minor assessment code (A007) is often rejected unless the assessment is for a separate, unrelated clinical issue.
- Avoid billing L531 for the same lesion if you have already billed a diagnostic procedure code for the same site on the same day.
Billing Tips
- If multiple lesions are excised during the same encounter, ensure you apply the appropriate multiple procedure rules, as L531 is typically subject to the 100%/50%/25% fee reduction rule.
Provider Fee$31.02
Effective: July 1, 2010
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