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R160 – Simple excision - single lesion

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

This code is for the simple excision of a single pre-malignant lesion located on the face or neck. The amount payable will be adjusted to a lesser fee if the pathologist’s report is not retained in the patient’s record. Excision is only payable for specific lesions including Dysplastic Nevus, Actinic/Solar Keratosis, Chemical and other pre-malignant keratoses, Large Cell Acanthoma, Erythroplasia of Queryrat, and Leukoplakia. Claims should be submitted with diagnostic code 232. In-situ lesions like Lentigo Maligna and Bowen's Disease are considered malignant and not covered by this code.
pathologist’s report must be retained in the patient’s record

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