All codes
L159
L159 – L159
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L159 when performing a diagnostic or therapeutic aspiration of a joint or bursa, such as a knee or shoulder effusion, that does not involve the injection of a therapeutic agent.
- Select L159 for the aspiration of a cyst or ganglion when the procedure is performed as a standalone diagnostic or drainage service.
Common Pitfalls
- Do not bill L159 in conjunction with G372 or G373, as the aspiration is considered an integral component of the joint injection procedure.
- Avoid billing L159 when the aspiration is performed as part of a minor surgical procedure already covered by a comprehensive surgical fee code, as this constitutes unbundling.
Billing Tips
- Ensure the clinical record explicitly differentiates between a simple aspiration (L159) and a therapeutic injection (G372) to avoid audit discrepancies regarding the nature of the procedure performed.
Provider Fee$18.10
Effective: July 1, 2010
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