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L053

L053L053

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L053 for the laboratory requisition of a complete blood count (CBC) when performed as a standalone service or in conjunction with an office visit.
  • Apply this code when ordering a standard hematology panel that requires a formal laboratory requisition form to be processed by an OHIP-funded facility.

Common Pitfalls

  • Do not bill L053 if the laboratory test is performed within a hospital setting, as the facility fee covers the requisition process.
  • Avoid billing L053 in addition to a comprehensive assessment code if the laboratory work is considered an integral part of the diagnostic workup already included in the visit fee.

Billing Tips

  • Ensure the laboratory requisition is clearly linked to the patient's diagnostic code to avoid automated rejections for lack of medical necessity.
Provider Fee$1.28

Effective: April 1, 2018

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