All codes
L725
L725 – L725
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L725 for the simple excision of a benign skin lesion such as a sebaceous cyst or lipoma when the procedure is performed in a clinical setting.
- Select L725 when the lesion removal is strictly cosmetic or minor in nature and does not meet the criteria for complex excision codes like Z305 or Z306.
Common Pitfalls
- Billing L725 in conjunction with an office visit fee (A007) is generally disallowed unless the excision is a separate, identifiable service performed on the same day.
- Submitting L725 for malignant lesions is a common audit trigger; use the appropriate Z-series excision codes for suspected malignancies to ensure accurate pathology-based billing.
Billing Tips
- Ensure the clinical note clearly documents the size and location of the lesion, as this is the primary justification for the fee if challenged during a post-payment review.
Provider Fee$38.78
Effective: July 1, 2010
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