Overview
SOMB code 98.12A is paid for an excisional biopsy of a skin lesion at a non-facial site. Excisional biopsies on the face use 98.12B instead.
Billing Requirements
- Excisional biopsy of a skin lesion
- Non-facial anatomical site
- Specimen sent to pathology (when clinically indicated)
Common Audit Traps
⚠️ Alberta Health auditors specifically look for these mistakes when reviewing 98.12A claims:
- Billing 98.12A for facial excisions (use 98.12B instead)
- Failing to document anatomical location and technique
Clinical Example
Excisional biopsy of a suspicious lesion on the back under local anaesthetic. Specimen sent to pathology. Bill 98.12A.
Documentation Tips (Audit-Proof)
- Record the lesion location, size, and technique
- Document specimen handling and pathology submission
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Related SOMB Codes
Excisional Biopsy — Skin of Face
Excisional biopsy of a skin lesion on the face.
Read GuideRemoval of Sebaceous Cyst
Excision of a sebaceous cyst.
Read GuideRemoval of Atypical or Neoplastic Lesion(s) — Any Method
Removal of atypical or neoplastic lesion(s) by any method (excluding cryotherapy for actinic keratosis).
Read Guide