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L154

L154L154

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L154 for the collection of a cervical smear (Pap test) when performed as a standalone procedure or during a periodic health examination.
  • Bill this code when performing a cervical screening in a patient who is not otherwise eligible for a comprehensive assessment code like A007 or A008.

Common Pitfalls

  • Do not bill L154 in addition to a general assessment code (A007, A008) as the cervical screening is considered included in the global fee for the assessment.
  • Avoid billing L154 if the primary purpose of the visit is the management of a specific gynecological complaint, as this may be captured under a standard office visit code (A001).

Billing Tips

  • Ensure the laboratory requisition is clearly linked to the screening indication to support the medical necessity of the L154 claim during potential audits.
Provider Fee$25.85

Effective: July 1, 2010

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