All codes
L690
L690 – L690
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L690 for the excision of a single benign lesion, such as a skin tag, seborrheic keratosis, or dermatofibroma, that requires local anesthesia and surgical removal.
- Select L690 when the procedure involves a simple excision that does not require complex closure or layered suturing, distinguishing it from the more intensive Z004 or Z005 excision codes.
Common Pitfalls
- Billing L690 in addition to a minor assessment code (A007) is generally disallowed as the assessment is considered included in the surgical fee.
- Submitting L690 for multiple lesions on the same day without using the appropriate multiple procedure modifier (e.g., 50% for the second lesion) will lead to automatic payment adjustments or rejections.
- Confusing L690 with G384 (cryotherapy) is a frequent audit trigger; L690 requires physical excision, whereas G384 is specific to destructive therapy.
Billing Tips
- Ensure the pathology report supports the diagnosis if the lesion is excised for medical necessity rather than cosmetic reasons, as cosmetic removals are not insured services.
- If the excision requires a complex closure, consider whether the procedure qualifies for a higher-valued excision code based on the size and anatomical location rather than defaulting to L690.
Provider Fee$44.97
Effective: July 1, 2010
Since Apr 1991, this fee has increased 0.0% vs 13.1% CPI inflation
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