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L135

L135L135

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L135 for the collection of a cervical or vaginal smear for cytology when the primary purpose of the visit is the screening or diagnostic investigation of the patient.
  • Bill L135 when performing a Papanicolaou test as part of a routine health examination or follow-up for abnormal cytology.

Common Pitfalls

  • L135 is a laboratory collection fee and cannot be billed in addition to an office visit fee (e.g., A007) if the smear is taken during the same encounter.
  • Billing L135 for a self-collected sample or when the patient performs the collection is an audit risk, as the code requires the physician to perform the collection.

Billing Tips

  • If you are performing a comprehensive physical examination, bill the appropriate visit code (e.g., K013) and omit L135, as the collection is considered bundled into the examination fee.
Provider Fee$20.68

Effective: July 1, 2010

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