All codes
L006
L006 – Laboratory Medicine - Technical Component
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L006 when you are billing for the technical component of a laboratory test performed in a private office setting rather than a hospital laboratory.
- Use this code when you have provided the full technical service, including equipment, supplies, and the generation of a formal interpretative report for the referring physician.
Common Pitfalls
- Billing L006 for a patient who is currently admitted as a hospital in-patient or who is admitted to the hospital within 24 hours of the service, which triggers an automatic rejection.
- Failing to apply the mandatory 86.10% payment reduction when the service is performed within a hospital facility, leading to claim adjustments or audit recovery.
Billing Tips
- Ensure you are referencing the specific Schedule of Benefits for Laboratory Services for the exact fee value, as L-prefix codes are distinct from the primary Schedule of Benefits for Physician Services.
Provider Fee$10.34
Effective: April 1, 2018
Service Type
Laboratory Medicine
Code Classes
Diagnostic
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