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R051
R051 – Laser surgery on Group 1 - 4, pre-malignant and malignant lesions
OHIP Integumentary System Surgical Procedures Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service is for laser surgery on Group 1 - 4, pre-malignant and malignant lesions. As an 'IC' (Independent Consideration) code, the fee is not specified and must be determined by a medical consultant based on submitted documentation, as outlined on . This code is prefixed with a '#', meaning when performed in a hospital or Integrated Community Health Services Centre (ICHSC), the facility costs (premises, equipment, supplies, personnel) are funded separately and cannot be charged to the patient. For payment, a pathologist's report must be retained in the patient's record.
The amount payable for excision of a pre-malignant lesion will be adjusted to a lesser fee if the pathologist’s report is not retained in the patient’s record.
Claims for services listed as 'IC' must be submitted with a supporting letter explaining the amount of the fee claimed, and must include an appropriate operative or consultation report, and a comparison of the scope and difficulty of the procedure in relation to non-IC procedures in the Schedule.
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.
# R051: For services denoted with the prefix “#” and performed in a hospital, the premises, equipment, supplies, and personnel are funded by the hospital global budget. If provided in an ICHSC, these costs are funded by the ICHSC. Patients cannot be charged for these items.
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