All codes
L701
L701 – L701
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L701 for the excision of a benign skin lesion such as a dermatofibroma or a benign nevus where the lesion diameter is less than 2 cm.
- Select L701 when the procedure involves a simple excision that does not require complex reconstruction or flap closure, distinguishing it from more intensive surgical codes like S112.
- Apply L701 for the removal of a symptomatic benign lesion that has been clinically diagnosed and requires histopathological confirmation.
Common Pitfalls
- Billing L701 in addition to a minor assessment code (A007) for the same patient on the same day is a common rejection unless the assessment is for an unrelated clinical issue.
- Submitting L701 for the removal of a malignant lesion is an error; malignant excisions must be billed under the appropriate S-series codes based on anatomical site and size.
- Failing to document the size of the lesion can lead to audit recovery if the Ministry determines the procedure should have been billed as a simple biopsy (Z400) or a more complex excision.
Billing Tips
- If multiple benign lesions are excised during the same encounter, bill L701 for the first lesion and use the appropriate multiple procedure rule (usually 50% for subsequent lesions) if applicable to your specific specialty guidelines.
- Ensure the pathology report supports the benign nature of the lesion to withstand post-payment audits regarding the selection of L701 over malignant excision codes.
Provider Fee$36.19
Effective: July 1, 2010
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.