All codes
L168
L168 – L168
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L168 for the professional component of a diagnostic Pap smear when the specimen is collected and submitted for cytological examination.
- Apply this code when billing for the interpretation of a cervical or vaginal smear in conjunction with a patient encounter where the primary purpose is screening or diagnostic investigation.
Common Pitfalls
- Do not bill L168 in addition to a comprehensive physical examination fee if the Pap smear is considered a routine part of the examination under the Schedule of Benefits.
- Avoid billing L168 if the laboratory processing fee is already being claimed by the facility, as this code is strictly for the professional interpretation component.
Billing Tips
- Ensure the diagnostic code linked to L168 reflects the specific clinical indication, such as abnormal bleeding or follow-up of a previous abnormal result, to justify the professional fee.
Provider Fee$10.89
Effective: April 1, 2018
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.