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L576

L576L576

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L576 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 L576 when the lesion removal is performed via simple excision or curettage, provided the clinical documentation confirms the lesion is benign.

Common Pitfalls

  • Billing L576 in conjunction with an office visit (A007) is generally rejected unless the lesion removal is the sole purpose of the visit or is clearly distinct from the consultation.
  • Submitting L576 for multiple lesions on the same day often leads to payment reductions or rejections; ensure you use the appropriate multiple procedure modifiers if applicable.

Billing Tips

  • If the lesion is malignant, use the appropriate excision code from the G-series (e.g., G381) instead of L576 to ensure accurate compensation for the complexity of the procedure.
Provider Fee$15.51

Effective: July 1, 2010

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