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L179

L179L179

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L179 as a supporting diagnostic code when billing for the professional component of a diagnostic test that does not have a specific fee code assigned in the Schedule of Benefits.
  • Apply L179 when submitting a claim for a laboratory or diagnostic procedure where the technical component is billed by the facility and you are claiming only the interpretation fee.

Common Pitfalls

  • Billing L179 as a standalone service will result in an automatic rejection because it is a non-fee diagnostic code that requires a linked procedural code.
  • Mistaking L179 for a consultation or assessment code; it carries a $0.00 value and cannot be used to bill for time spent with a patient.

Billing Tips

  • Ensure L179 is appended to the primary procedure code on the same claim to provide necessary diagnostic context for the service rendered.
Provider Fee$0.00

Effective: April 1, 2008

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