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Currently, our Oral Biopsy Service cannot be billed to Medical Services Plan of British Columbia, but it is covered by various dental insurance plans. The PMI laboratory fee is $155 CDN.
Here is information on Canadian Dental Association codes associated with Oral Biopsy and the corresponding BC fees.
Service |
Procedure Code |
Dentist’s fee |
Laboratory Charge |
Soft Tissue Biopsy |
By puncture |
04311 |
$ 78.30 |
|
By incision |
04312 |
$ 127.30 |
|
Histopath Report |
04602 |
|
$ 155.00 |
Hard Tissue Biopsy |
By Incision |
04322 |
$ 254.60 |
|
Histopath Report |
04602 |
|
$ 155.00 |
Surgical Excision of Tumor |
Soft tissue < 1cm |
74111 |
$ 252.10 |
|
Histopath report |
99222 |
|
$ 155.00 |
Hard tissue < 1cm |
74121 |
$ 249.20 |
|
Histopath Report |
99222 |
|
$ 155.00 |
Endo – Apical Curettage |
One root |
34111 |
$ 318.20 |
|
Histopath report |
99222 |
|
$ 155.00 |
Laboratory code:
04602 - Interpretation and/or Report, Histopathological by Oral Pathologist or Microbiologist
99222 - "+ L" for oral pathology biopsy services when provided in relation to surgical services from the 30000, 40000, 70000 code series
Dentist Code:
04311 - soft tissue biopsy by puncture
04312 - soft tissue biopsy by incision
04322 - hard tissue biopsy by incision
74111 - surgical excisions, tumours, benigh, scar tissue, inflammatory or congenital lesions of soft tissue of the oral cavity - 1 cm and under
74121 - surgical excisions, tumours, benihn, bone tissue - 1cm and under
34111 - apicoectomy / apical curettage, maxillary anterior - one root
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