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L098

L098L098

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L098 for the laboratory requisition of a routine complete blood count (CBC) when performed in a physician's office or community lab setting.
  • Apply this code when ordering standard hematological investigations that do not fall under more specific, higher-value laboratory requisition codes.

Common Pitfalls

  • Billing L098 in conjunction with a full physical examination (A007) is often flagged as an unbundled service if the lab work is considered part of the global assessment fee.
  • Submitting L098 for tests that are already included in a specialized panel or diagnostic procedure code will result in a rejection for duplicate billing.

Billing Tips

  • Ensure the laboratory requisition is clearly linked to a specific diagnostic code to avoid audit triggers regarding medical necessity.
Provider Fee$3.10

Effective: July 1, 2010

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