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How to Bill 98.12J
Removal or Excision — First Lesion

Removal or excision of a first lesion (non-cryotherapy, non-fulguration method).

Reference: SOMB 2026 §98.12J — Removal of First Lesion

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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