All codes
L604
L604 – L604
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L604 for the excision of a single nail or nail bed when the procedure is limited to the nail structure itself.
- Apply this code when performing a simple nail avulsion or wedge resection that does not involve extensive soft tissue repair or complex matrixectomy.
Common Pitfalls
- Do not bill L604 in conjunction with Z005 or Z007 for the same digit, as the minor surgery fee already encompasses the assessment.
- Avoid billing L604 alongside more comprehensive surgical codes like S125 if the procedure performed exceeds the scope of a simple nail excision.
Billing Tips
- Ensure the clinical note clearly distinguishes the procedure from a simple nail clipping or trimming, which is not an insured service under the Schedule of Benefits.
Provider Fee$5.17
Effective: July 1, 2010
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