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L057
L057 – Creatinine
OHIP Dermatology Code · Schedule of Benefits
Creatinine - Laboratory Medicine (Biochemistry) technical component.
When to Use
- Use L057 when performing the technical component of a creatinine test in a licensed laboratory setting, distinct from the physician-performed office test G039.
- Apply this code when the laboratory service includes the mandatory written interpretative report provided to a referring physician.
Common Pitfalls
- Billing L057 for office-based testing instead of the appropriate G039 code will result in rejection as these are mutually exclusive based on the setting.
- Failure to document the specific interpretation and treatment decision in the permanent medical record makes the claim non-compliant during an audit, even if the technical test was performed.
Billing Tips
- Ensure that if multiple specimens are processed for the same patient on the same day, each is billed as a separate instance of L057 to reflect the total technical volume.
Provider Fee$4.98
Effective: April 1, 2018
Service Type
Laboratory Medicine
Code Classes
Diagnostic
L057 is part of the separate 'Schedule of Benefits for Laboratory Services' and is not listed in the main Numeric Index of the Schedule of Benefits for Physician Services.
The fee of $4.98 applies to the technical component of the test.
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