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L597

L597L597

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L597 for the professional fee associated with the excision of a nail bed or nail matrix, typically performed for chronic ingrown nails or nail bed pathology.
  • Bill L597 when performing a partial or total nail plate avulsion in conjunction with a matrixectomy to prevent recurrence.

Common Pitfalls

  • Do not bill L597 in addition to a simple nail avulsion code like Z403, as L597 is intended to cover the more complex surgical procedure of the nail bed itself.
  • Avoid billing L597 as a stand-alone procedure if the primary intent was only a simple drainage of a subungual hematoma, which is better represented by other minor surgery codes.

Billing Tips

  • Ensure the clinical note explicitly details the excision of the nail bed or matrix to justify the L597 fee over a standard nail removal code.
Provider Fee$20.68

Effective: July 1, 2010

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