Overview
SOMB code 98.12B is paid for an excisional biopsy of a skin lesion on the face. The higher fee compared with 98.12A reflects the increased technical complexity of facial procedures.
Billing Requirements
- Excisional biopsy performed on the face
- Procedure technique and closure documented
- Pathology submission when clinically indicated
Common Audit Traps
⚠️ Alberta Health auditors specifically look for these mistakes when reviewing 98.12B claims:
- Billing 98.12B for non-facial excisions (use 98.12A instead)
Clinical Example
Excisional biopsy of a suspicious nasal lesion under local anaesthetic; primary closure. Bill 98.12B.
Documentation Tips (Audit-Proof)
- Record facial anatomical subsite
- Document closure technique and any cosmetic considerations
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