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R019 – Curettage, electrodesiccation or cryosurgery - two lesions

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

This service provides for the treatment of two malignant lesions on the face or neck using curettage, electrodesiccation, or cryosurgery. It is a surgical procedure with specific payment requirements. Payment Requirements: • A pathologist's report must be retained in the patient's record. Failure to do so may result in the claim being adjusted to a lesser fee. • The lesions must be confirmed as malignant. Services for pre-malignant lesions are not payable under this code. Billing Interaction Note: As per page , if the defect from the procedure is corrected by an advancement, rotation, transposition, Z-plasty, flap, or graft, you must claim the appropriate repair benefit instead of R019.
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.

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.

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

When excision of benign, pre-malignant or malignant lesions are corrected by advancement, rotation, transposition, Z-plasty, flap or graft, claim appropriate benefit listed under Repair Section instead of foregoing excision benefits.

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