All codes
L161
L161 – L161
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L161 for the laboratory requisition of a complete blood count (CBC) when performed in a physician's office or community setting.
- Apply this code when ordering a standard hematology panel that includes hemoglobin, hematocrit, red cell indices, and white cell count.
Common Pitfalls
- Billing L161 in conjunction with a comprehensive panel code that already includes a CBC, which will trigger a duplicate service rejection.
- Attempting to bill L161 for tests performed by a hospital laboratory, as these are billed directly by the facility and not the ordering physician.
Billing Tips
- Ensure the laboratory requisition clearly specifies the components of the CBC to justify the L161 claim during an audit.
Provider Fee$20.68
Effective: April 1, 2018
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