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T674

T674T674

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T674 for the surgical excision of a malignant lesion of the skin when the diameter of the lesion is 2 cm or greater.
  • Apply this code when performing a full-thickness excision that requires closure, distinguishing it from simple biopsy codes like Z401.

Common Pitfalls

  • Billing T674 in conjunction with a diagnostic biopsy code (Z401) on the same lesion is considered double-dipping and will trigger a rejection.
  • Submitting T674 without specifying the anatomical site or the pathology report reference number often leads to manual review or audit flags.

Billing Tips

  • If the excision requires a complex reconstruction or flap, ensure you are not under-billing by checking if a more specific reconstructive code is applicable instead of T674.
Provider Fee$500.00
Specialist Fee$500.00

Effective: February 1, 2011

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