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R018 – Curettage, electrodesiccation or cryosurgery - single lesion

OHIP Integumentary System Surgical Procedures Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

Treatment for a single malignant lesion located on the face or neck, performed via curettage, electrodesiccation, or cryosurgery. This fee code applies to a single lesion. Key requirements: • A pathologist's report confirming malignancy must be retained in the patient's record; otherwise, the fee will be adjusted to a lesser amount. • This service is not payable for pre-malignant lesions (). Billing guidance: • If the defect from the procedure is repaired using techniques such as advancement, rotation, transposition, Z-plasty, flap, or graft, the claim should be for the appropriate repair code instead of R018 (). • Assistant Fee: Based on 6 basic units plus time units (, ). • Anaesthesia Fee: Based on 6 basic units plus time units (, ).
The amount payable for treatment of a malignant lesion will be adjusted to a lesser fee if the pathologist's report is not retained in the patient's record.
Usage limits
[1, "per_lesion", "per_patient_per_physician", "Limited to one service per single lesion treated."]

A pre-malignant lesion is not a malignant lesion for the purposes of payment.

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