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R049 – Simple excision - two lesions

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

This service covers the simple excision of two malignant lesions, including the biopsy of each lesion, from the face or neck. A pre-malignant lesion is not considered a malignant lesion for payment purposes. If the repair of the excision site involves procedures such as an advancement flap, rotation flap, transposition flap, Z-plasty, or skin graft, the appropriate repair code should be claimed instead of R049. Payment for this service is contingent upon the pathologist's report being retained in the patient's medical record.
The pathologist's report must be retained in the patient's record or the amount payable will be adjusted to a lesser fee.

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.

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