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R165
R165 – Simple excision - three or more lesions
OHIP Integumentary System Surgical Procedures Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Excision of three or more pre-malignant lesions from areas other than the face or neck. The amount payable for this service will be adjusted to a lesser fee if the pathologist’s report is not retained in the patient’s record. This procedure is only payable for specific types of pre-malignant lesions including Dysplastic Nevus, Actinic/Solar Keratosis, Chemical and other pre-malignant keratoses, Large Cell Acanthoma, Erythroplasia of Queryrat, and Leukoplakia.
All insured services must be documented in appropriate records that establish the service was provided, the service claimed is the service rendered, and the service was medically necessary, as per .
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.
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