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L027

L027L027

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L027 for the professional component of a diagnostic Pap smear when the physician performs the collection and interpretation of the slide.
  • Use L027 when billing for a cervical cytology screening in a clinical setting where the physician is responsible for the technical and professional oversight of the specimen.

Common Pitfalls

  • Do not bill L027 in conjunction with a general office visit code (A007) if the Pap smear is the sole purpose of the visit, as the visit fee is considered inclusive of the procedure.
  • Avoid billing L027 if the specimen is sent to an external laboratory for processing, as the laboratory will bill the professional component directly.

Billing Tips

  • Ensure the diagnostic code reflects the reason for the screening, such as a routine exam or a specific gynecological concern, to avoid rejection for lack of medical necessity.
Provider Fee$21.45

Effective: April 1, 2018

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