All codes
L075
L075 – L075
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L075 for the professional component of a diagnostic Pap smear screening when performed in a primary care setting.
- Bill L075 when the physician performs the cervical cytology collection and the specimen is sent to a laboratory for interpretation.
Common Pitfalls
- Do not bill L075 in conjunction with a general assessment code like A007, as the fee is intended to be inclusive of the procedure during a visit.
- Avoid billing L075 if the Pap smear is part of a comprehensive periodic health examination where the global fee structure already accounts for routine screening procedures.
Billing Tips
- Ensure the laboratory requisition is clearly marked with the appropriate diagnostic code to prevent rejection of the professional fee claim.
Provider Fee$15.51
Effective: July 1, 2010
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