All codes
L016
L016 – L016
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L016 for the professional component of a complete blood count (CBC) when performed in a physician's office laboratory.
- Apply this code when billing for the interpretation and reporting of a routine hematology profile that does not meet the criteria for more complex diagnostic testing.
Common Pitfalls
- Avoid billing L016 in conjunction with a visit fee if the laboratory service is considered part of the global fee for the office visit.
- Do not bill L016 if the blood sample was sent to an external community laboratory, as the laboratory itself bills the technical component to OHIP.
Billing Tips
- Ensure the laboratory requisition and results are maintained in the patient record to justify the professional fee if audited for service delivery.
Provider Fee$10.34
Effective: July 1, 2010
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