All codes
L779
L779 – L779
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L779 for the professional fee associated with the excision of a malignant lesion when the pathology report confirms malignancy and the procedure is performed in an office setting.
- Apply this code when performing a biopsy or excision of a skin lesion that is subsequently sent for histopathological examination to confirm a diagnosis.
Common Pitfalls
- Do not bill L779 in conjunction with minor surgery codes like Z100 or Z101, as these are considered inclusive of the professional assessment fee.
- Avoid billing L779 for simple benign lesion removals; these should be billed under the appropriate Z-code series for minor surgical procedures.
Billing Tips
- Ensure the pathology report is filed and accessible, as the Ministry frequently audits L779 claims to verify the malignant diagnosis required for this specific fee.
Provider Fee$14.26
Effective: April 1, 2018
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