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L691
L691 – L691
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L691 for the excision of a single benign lesion, such as a skin tag or small fibroma, when the procedure is performed in a clinical setting.
- Select this code when the lesion is removed via simple excision or snip, provided the total time and complexity do not warrant a higher-valued procedure code like S060.
Common Pitfalls
- Billing L691 in conjunction with a minor assessment code (A007) is a common rejection; ensure the assessment is not for the same lesion being excised.
- Submitting L691 for multiple lesions on the same day often triggers a manual review or rejection; use the appropriate multiple procedure logic or modifier if applicable.
Billing Tips
- Ensure the clinical note explicitly describes the lesion size and location to justify the use of L691 over more complex excision codes if audited.
- If the removal involves a biopsy and subsequent excision of the same site, bill only the excision code as the biopsy is considered inclusive.
Provider Fee$9.31
Effective: April 1, 2018
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