All codes
L664
L664 – L664
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L664 for the excision of a malignant lesion on the trunk or extremities where the pathology report confirms malignancy and the lesion size is 2 cm or less.
- Select L664 instead of minor procedure codes like G372 when the primary intent is the definitive surgical removal of a biopsy-proven malignant skin cancer.
Common Pitfalls
- Billing L664 for benign lesions or simple cysts will trigger an audit; ensure the diagnosis code reflects a malignant neoplasm (e.g., ICD-9 173.x).
- Submitting L664 alongside a consultation or assessment code (A007) for the same patient on the same day without a valid diagnostic code modifier or medical necessity documentation often leads to automatic rejection.
Billing Tips
- If the excision requires a complex closure or reconstruction, bill the appropriate Z-code (e.g., Z300 series) in addition to L664, ensuring the surgical site is clearly identified.
Provider Fee$25.85
Effective: July 1, 2010
Since Oct 1989, this fee has increased 0.0% vs 13.1% CPI inflation
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.