All codes
L165
L165 – L165
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L165 for the laboratory requisition of a complete blood count (CBC) when performed as a standalone test or part of a routine panel.
- Apply this code when ordering a standard hematology profile for a patient presenting with symptoms of fatigue or suspected anemia.
Common Pitfalls
- Billing L165 in conjunction with a comprehensive diagnostic panel that already includes the CBC component, which may trigger a duplicate service rejection.
- Failing to ensure the laboratory requisition form matches the specific diagnostic code submitted to the Ministry, leading to potential audit discrepancies.
Billing Tips
- Ensure the diagnostic code linked to L165 aligns with the clinical indication documented in the patient chart to justify the medical necessity of the hematology test.
Provider Fee$1.28
Effective: April 1, 2018
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