All codes
L095
L095 – L095
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L095 for the initial laboratory requisition or specimen collection fee when the patient is not physically present in the office for an examination.
- Bill L095 when you are managing a patient's chronic condition via lab monitoring and the encounter consists solely of reviewing results and ordering follow-up tests without a formal assessment code like A007.
Common Pitfalls
- Do not bill L095 on the same day as an office visit code (e.g., A007 or A001), as the laboratory fee is considered inclusive of the visit.
- Avoid billing L095 if the laboratory work is performed by a hospital or external facility, as this code is intended for office-based collection or processing.
Billing Tips
- Ensure the laboratory requisition is clearly linked to the patient's chart to justify the fee during an audit of non-visit encounters.
Provider Fee$37.22
Effective: July 1, 2010
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