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L630
L630 – L630
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L630 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 L630 when the lesion is removed by simple excision rather than by curettage or cauterization, which would fall under different minor surgery codes.
- Apply L630 for the removal of a single lesion where the clinical documentation confirms the lesion was benign and the excision was straightforward.
Common Pitfalls
- Billing L630 in addition to an office visit (A007) for the same patient on the same day is often rejected unless the visit is for a separate, unrelated clinical issue.
- Attempting to bill L630 multiple times for multiple lesions on the same day will trigger a rejection; use the appropriate multiple-lesion modifiers or secondary codes if applicable.
- Confusing L630 with L631 or L632, which are reserved for more complex excisions or different anatomical considerations, leading to audit flags for incorrect code selection.
Billing Tips
- Ensure the clinical note clearly describes the excision technique to justify L630 over other minor procedure codes that may have different fee structures.
- If performing multiple excisions, verify the current Schedule of Benefits for the specific rules regarding the reduction of fees for subsequent lesions billed on the same day.
Provider Fee$17.37
Effective: April 1, 2018
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