Fee Navigator

    Health Service Code 98.12K

    Removal by fulguration, first lesion

    NOTE:

    A maximum of six 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:$24.15

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIANTYesIncrease By25%
    ROLEANEYesReplace Base$110.53
    ROLEANESTYesReplace Base$18.39
    ANUANU1For Each Call Pay Base At100%
    ANUANU2 - 150For Each Call Increase By$18.39
    UGAUGAYesReplace Base$134.85
    CALLNBRSER1For Each Call Pay Base At100%
    CALLNBRSER2 - 5For Each Call Increase By$6.39
    CALLNBRSER6 - 6For Each Call Increase By$3.25
    CALLNBRSERTo a Maximum Of$52.96
    TRAYMINTIncrease By$13.11
    NBTRNBTRYes
    LVPLVP75YesReduce Base To75%

    Governing Rules: