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L717
L717 – L717
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L717 for the excision of a malignant lesion on the face, scalp, neck, hands, feet, or genitalia where the lesion diameter is between 0.5 cm and 1.9 cm.
- Select L717 over L716 when the lesion is malignant and requires a wider excision margin than a benign lesion, provided the size criteria are met.
Common Pitfalls
- Billing L717 for lesions smaller than 0.5 cm, which should be billed under the lower-tier excision codes or minor surgery codes.
- Submitting L717 for benign lesions, which are specifically excluded from this code and must be billed under the appropriate benign excision codes (e.g., L711 or L712).
- Failing to include the pathology report reference or specific anatomical site in the claim, which often triggers manual review or rejection.
Billing Tips
- Always ensure the pathology report confirms malignancy, as this is the primary audit trigger for L717 versus benign excision codes.
- If the excision requires a complex repair or flap, ensure you are billing the appropriate additional procedure code (e.g., Z000 series) alongside L717, as the excision fee does not include complex reconstruction.
Provider Fee$116.33
Effective: July 1, 2010
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