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L106

L106L106

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L106 for the initial diagnostic assessment of a patient presenting with a suspected psychiatric condition when a formal mental status examination is required.
  • Select L106 when providing a comprehensive psychiatric consultation for a patient referred by another physician, provided the criteria for a formal consultation are met.

Common Pitfalls

  • Billing L106 in conjunction with a general assessment code like A007 for the same patient on the same day will trigger an automatic rejection for duplicate service.
  • Submitting L106 without a valid referring physician number in the claim record will result in a rejection, as this is a consultation-based service.

Billing Tips

  • Ensure the clinical notes explicitly document the psychiatric assessment components to justify the L106 fee over a standard office visit code.
Provider Fee$33.61

Effective: July 1, 2010

Since Oct 1989, this fee has increased 0.0% vs 13.1% CPI inflation

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