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T392

T392T392

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T392 for the surgical excision of a malignant lesion of the skin or mucous membrane where the diameter of the lesion is greater than 2 cm.
  • Select T392 instead of T391 when the lesion size exceeds the 2 cm threshold, as T391 is strictly for lesions 2 cm or smaller.

Common Pitfalls

  • Billing T392 for benign lesions is a common audit trigger; ensure the pathology report confirms malignancy to support the code selection.
  • Attempting to bill T392 in conjunction with a minor procedure code like G372 is often rejected as the excision fee is intended to be comprehensive for the primary procedure.

Billing Tips

  • Always document the exact measurement of the lesion in the operative note, as the Ministry may request this to justify the use of T392 over lower-valued excision codes.
Provider Fee$375.08
Specialist Fee$375.08

Effective: April 1, 2025

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