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R161
R161 – Simple excision - two lesions
OHIP Integumentary System Surgical Procedures Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Simple excision of two pre-malignant lesions (Face or Neck). 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. Excision of a pre-malignant lesion is only payable for the following lesions: Dysplastic Nevus, Actinic/Solar Keratosis, Chemical and other pre-malignant keratoses, Large Cell Acanthoma, Erythroplasia of Queryrat, Leukoplakia.
All insured services must be documented in the patient's medical record to establish that the service was provided, the service claimed is the service that was rendered, and the service was medically necessary, as per requirements in Appendix G of the Schedule. ()
An appropriate operative report must be maintained in the patient's medical record.
The pathologist’s report must be retained in the patient’s record, otherwise the amount payable for excision of a pre-malignant lesion will be adjusted to a lesser fee.
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