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L099

L099L099

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L099 for the collection and preparation of a specimen for laboratory analysis when the physician does not perform the actual lab test in-office.
  • Bill L099 when a patient presents specifically for a blood draw or specimen collection that is sent to an external community laboratory.

Common Pitfalls

  • Do not bill L099 in conjunction with an office visit code like A007, as the specimen collection is considered bundled into the assessment fee.
  • Avoid billing L099 if the laboratory test is performed on-site using a physician-owned analyzer, as this is typically covered under the specific lab test fee code.
  • L099 is frequently rejected if billed on the same day as a minor procedure or consultation where the specimen collection is incidental to the primary service.

Billing Tips

  • Ensure the laboratory requisition clearly indicates the specimen was collected by the physician's office to support the claim during an audit.
  • Use L099 as a standalone service code only when no other assessment or procedural codes are claimed for that patient encounter.
Provider Fee$12.93

Effective: July 1, 2010

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