All codes
T682
T682 – T682
OHIP Other Code · Schedule of Benefits
When to Use
- Use T682 for the surgical excision of a malignant lesion of the skin where the pathology report confirms malignancy and the procedure involves a complex closure or reconstruction.
- Select T682 when the procedure requires a formal flap or graft to close the defect, distinguishing it from simple excision codes like Z001 or Z002.
Common Pitfalls
- Billing T682 for a simple excision of a benign lesion will result in a rejection or audit recovery; ensure the diagnosis code reflects a malignant neoplasm.
- Attempting to bill T682 in conjunction with a consultation code on the same day without a separate, distinct clinical reason for the consultation will trigger a claim rejection.
Billing Tips
- Ensure the operative report clearly documents the dimensions of the excision and the specific technique used for closure to justify the higher fee compared to standard excision codes.
- If multiple lesions are excised during the same session, ensure you apply the appropriate multiple procedure rules, as T682 is typically subject to the 100%/50% reduction policy.
Provider Fee$800.00
Specialist Fee$800.00
Effective: February 1, 2011
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