All codes
L040
L040 – L040
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L040 for the professional component of a diagnostic Pap smear when the physician performs the collection and interpretation of the slide.
- Apply this code when billing for the examination of a cervical or vaginal smear that has been prepared and stained in the office setting.
Common Pitfalls
- Do not bill L040 in addition to a general office visit fee (A007) if the Pap smear is the sole reason for the visit, as the visit fee is generally considered inclusive of the collection.
- Avoid billing L040 if the specimen is sent to an external laboratory for cytological analysis, as the lab will bill for the professional interpretation component.
Billing Tips
- Ensure the clinical indication for the smear is clearly linked to the service to avoid rejection for lack of medical necessity.
Provider Fee$10.34
Effective: April 1, 2018
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