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T488

T488T488

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T488 for the surgical excision of a malignant lesion of the skin or mucous membrane where the diameter of the lesion plus margins is 3.0 cm or greater.
  • Select T488 over smaller excision codes like T486 or T487 when the size of the lesion necessitates a more extensive surgical procedure and complex closure.

Common Pitfalls

  • Billing T488 for benign lesions is a frequent audit trigger; ensure the pathology report confirms malignancy to support the fee.
  • Attempting to bill an additional excision code for the same site is prohibited; T488 is a comprehensive fee that includes the primary excision and standard closure.

Billing Tips

  • If the procedure requires a complex flap or graft for closure, you may be eligible to bill an additional code from the Z-series, provided the documentation clearly separates the excision from the reconstruction.
Provider Fee$573.54
Specialist Fee$688.01

Effective: April 1, 2025

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