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L652

L652L652

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L652 for the professional fee associated with the excision of a benign skin lesion, such as a skin tag or small seborrheic keratosis, when performed in a clinical setting.
  • Apply this code when the procedure is performed as a standalone service or in conjunction with an office visit, provided the lesion removal is the primary reason for the encounter.

Common Pitfalls

  • Billing L652 in addition to a minor surgery code like Z310 is redundant, as the professional fee for the excision is typically bundled into the procedural code.
  • Submitting L652 without an appropriate diagnostic code for the lesion type will result in an automatic rejection for insufficient clinical justification.

Billing Tips

  • Ensure the lesion size and anatomical location are clearly noted in the chart, as these details are required to justify the specific excision code used alongside the L652 professional fee.
Provider Fee$7.24

Effective: July 1, 2010

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