Fee Navigator®

    Health Service Code 98.12J

    Removal or excision, first lesion

    1. May be claimed in addition to a visit or a consultation.
    2. A maximum of four calls may be claimed.
    Additional notes:
    • Listed under - Warts or Keratoses:
      1. Items 98.12J, 98.12K and 98.12L may only be claimed for the following: genital warts; plantar warts; precancerous skin lesions, e.g., actinic keratoses; seborrhoeic keratoses which are irritated and treatment is medically required; warts in immuno-deficient patients or immuno-suppressed patients; or molluscum contagiosum.
      2. The treatment of common warts or keratoses is an uninsured service.
    Category:M Minor Procedure
    Base rate:$19.16

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIANTYesIncrease By25%
    ROLEANEYesReplace Base$112.39
    ROLEANESTYesReplace Base$18.70
    ANUANU1For Each Call Pay Base At100%
    ANUANU2 - 150For Each Call Increase By$18.70
    UGAUGAYesReplace Base$134.85
    CALLNBRSER1For Each Call Pay Base At100%
    CALLNBRSER2 - 3For Each Call Increase By$7.68
    CALLNBRSER4 - 4For Each Call Increase By$7.57
    CALLNBRSERTo a Maximum Of$42.09
    TRAYMAJTIncrease By$38.88
    LVPLVP75YesReduce Base To75%

    Governing Rules: