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T114

T114T114

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T114 for the surgical excision of a malignant lesion of the skin or mucous membrane where the diameter of the lesion is between 1.1 cm and 2.0 cm.
  • Select T114 when the procedure involves a full-thickness excision requiring closure, distinguishing it from simple biopsy codes like Z315 or Z316.

Common Pitfalls

  • Billing T114 alongside a minor procedure code for the same lesion is considered unbundling; the excision fee is intended to cover the entire procedure including local anesthesia and closure.
  • Submitting T114 without documenting the specific lesion size in centimeters often leads to audit adjustments, as the fee is strictly tiered based on diameter.

Billing Tips

  • If the excision requires a complex reconstruction or flap, ensure you are not billing T114 in isolation, as additional codes for tissue transfer may be applicable depending on the complexity of the repair.
Provider Fee$438.25
Specialist Fee$438.25

Effective: February 1, 2011

Since Jan 2004, this fee has increased 0.0% vs 14.3% CPI inflation

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T114 – T114 | OHIP Fee Schedule | SnapBill MD