Overview
SOMB code 98.12J is paid for the removal or excision of a first lesion using a method other than cryotherapy or fulguration. Document each lesion separately, including location and method.
Billing Requirements
- Removal or excision of a lesion by a method other than cryotherapy/fulguration
- Lesion documented individually
Common Audit Traps
⚠️ Alberta Health auditors specifically look for these mistakes when reviewing 98.12J claims:
- Billing 98.12J for cryotherapy (use 98.12L) or fulguration (use 98.12K)
- Counting multiple lesions as a single 98.12J claim
Clinical Example
Shave removal of a benign skin lesion on the shoulder. Bill 98.12J for the first lesion.
Documentation Tips (Audit-Proof)
- List each lesion and its location separately
- State the method used for removal
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Related SOMB Codes
Removal by Fulguration — First Lesion
Fulguration removal of a first lesion.
Read GuideCryotherapy / Chemotherapy — Warts or Keratoses
Non-surgical treatment (cryotherapy or topical chemotherapy) of warts or keratoses. Commonly under-billed alongside routine visits.
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