All codes
L104
L104 – L104
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L104 for the collection of a cervical smear or Pap test during a routine office visit when the patient is not otherwise eligible for a more comprehensive assessment code.
- Bill L104 when performing a cervical smear as a standalone procedure for screening purposes, provided no other major assessment code is claimed for the same encounter.
Common Pitfalls
- Do not bill L104 in addition to a general assessment code like A007 or A001, as the procedure is considered included in the assessment fee.
- Avoid billing L104 if the cervical smear is performed during a visit where a specific diagnostic code for a symptomatic pelvic exam is more appropriate, as this may lead to duplicate billing rejections.
Billing Tips
- Claim L104 only when the primary purpose of the visit or the specific procedure performed is the cervical smear, ensuring it is not bundled into a comprehensive physical examination fee.
Provider Fee$15.51
Effective: July 1, 2010
Since Oct 1989, this fee has increased 0.0% vs 13.1% CPI inflation
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