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L055

L055L055

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L055 for the preparation of a single slide for a Papanicolaou smear when the physician performs the collection personally.
  • Apply this code when submitting a cervical or vaginal cytology specimen to the laboratory for diagnostic screening purposes.

Common Pitfalls

  • Do not bill L055 in conjunction with a general office visit fee (A007) as it is considered a technical component included in the global assessment.
  • Avoid billing L055 if the specimen collection was performed by a nurse or other clinical staff, as the code requires the physician to perform the procedure.

Billing Tips

  • Ensure the laboratory requisition clearly indicates the physician as the collector to support the claim during a potential audit of L055.
Provider Fee$1.28

Effective: April 1, 2018

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