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How to Bill 98.12A
Excisional Biopsy — Skin

Excisional biopsy of a non-facial skin lesion.

Reference: SOMB 2026 §98.12A — Excisional Biopsy, Skin

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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