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L148

L148L148

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L148 for the professional component of a diagnostic Pap smear when the physician performs the collection and interpretation of the slide.
  • Use this code specifically for cervical cytology screening; do not use it for general pathology or biopsy specimens which fall under different laboratory fee schedules.

Common Pitfalls

  • Billing L148 in conjunction with a physical examination code like A007 is often flagged for unbundling if the documentation does not clearly separate the screening procedure from the office visit.
  • Submitting L148 when the specimen is sent to an external laboratory for processing will result in a rejection, as this code assumes the physician is performing the technical and professional work.

Billing Tips

  • Ensure the diagnostic code on the claim matches the screening indication to avoid automated rejections for frequency limits.
Provider Fee$11.60

Effective: April 1, 2018

Since Oct 1989, this fee has decreased 43.9% vs 29.0% CPI inflation

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