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L058

L058L058

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L058 for the professional component of a diagnostic Pap smear or cytology specimen collection when performed in a clinical setting.
  • Bill this code when the physician performs the physical collection of the specimen, distinct from the laboratory analysis fee.

Common Pitfalls

  • Billing L058 in conjunction with a full physical examination code (e.g., K013 or A007) is often rejected as the collection is considered bundled into the comprehensive assessment.
  • Submitting L058 for a patient encounter where no specimen was actually collected or processed, leading to potential recovery during an audit.

Billing Tips

  • Ensure the laboratory requisition is clearly linked to the date of service to support the claim if the Ministry requests proof of specimen submission.
Provider Fee$25.85

Effective: July 1, 2010

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