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L726
L726 – L726
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L726 for the excision of a single benign skin lesion, such as a simple sebaceous cyst, when the procedure is performed in a clinical setting.
- Select L726 when the lesion is superficial and does not require the complex tissue undermining or layered closure associated with the higher-valued excision codes like Z300 or Z301.
Common Pitfalls
- Billing L726 alongside an office visit code (A007) is often rejected unless the procedure is medically necessary and distinct from the consultation or assessment.
- Submitting L726 for the removal of multiple lesions in the same anatomical region can trigger audit flags; ensure each site is documented and billed with the appropriate diagnostic code.
Billing Tips
- If the lesion removal requires a formal pathology report, ensure the pathology requisition matches the diagnosis code submitted with L726 to avoid reconciliation errors.
Provider Fee$20.68
Effective: July 1, 2010
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