All codes
L046
L046 – L046
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L046 for the professional component of a diagnostic Pap smear or cervical cytology screening when performed in a physician's office.
- Apply this code when submitting the physician's fee for the collection and preparation of a cervical specimen for laboratory analysis.
Common Pitfalls
- Do not bill L046 in conjunction with a general office visit code like A007, as the collection fee is intended to be inclusive of the encounter for the procedure.
- Avoid billing L046 if the specimen collection is performed by a nurse or other staff member, as the code requires the physician to perform the service.
Billing Tips
- Ensure the diagnostic code associated with the Pap smear is included to justify the screening, as missing or incorrect diagnostic codes are a primary cause of rejection for this fee.
Provider Fee$10.00
Effective: April 1, 2018
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