All codes
L113
L113 – L113
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L113 for the laboratory requisition of a routine complete blood count (CBC) when performed in a community setting.
- Apply this code when ordering a standard urinalysis or basic chemistry panel that does not fall under more specific diagnostic categories.
Common Pitfalls
- Billing L113 in conjunction with a full physical examination (K032) is often flagged as unbundling, as the lab requisition is considered part of the global fee.
- Submitting L113 for tests that are already included in the fee for a specific procedure or minor surgery code will result in automatic rejection.
Billing Tips
- Ensure the laboratory requisition is clearly linked to the diagnostic purpose of the visit to avoid audit scrutiny regarding medical necessity.
Provider Fee$5.17
Effective: July 1, 2010
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