All codes
L086
L086 – L086
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L086 for the collection of a specimen by venipuncture when the physician performs the draw personally in the office setting.
- Bill this code when a patient requires blood work that cannot be performed by a laboratory technician and necessitates the physician's direct intervention.
Common Pitfalls
- Do not bill L086 in conjunction with a consultation or assessment code (e.g., A007) for the same patient on the same day, as the collection is considered bundled into the office visit fee.
- Avoid billing L086 if the specimen collection is performed by a nurse or laboratory staff, as this code is strictly for physician-performed venipuncture.
Billing Tips
- Ensure the medical record explicitly states that the physician performed the venipuncture to justify the claim during a potential audit.
Provider Fee$25.04
Effective: April 1, 2018
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