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L160

L160L160

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L160 for the laboratory requisition of a complete blood count (CBC) when performed as a standalone service.
  • Bill L160 when ordering a basic hematology profile for a patient presenting with symptoms of anemia or infection during an office visit.

Common Pitfalls

  • Do not bill L160 in conjunction with a comprehensive panel code if the laboratory service is already bundled into a global fee.
  • Avoid billing L160 if the specimen collection and analysis are performed within a hospital setting where the laboratory fee is covered under the global hospital budget.

Billing Tips

  • Ensure the diagnostic code linked to L160 justifies the medical necessity of the hematology test to avoid automated rejections.
Provider Fee$10.34

Effective: April 1, 2018

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