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L181

L181L181

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L181 when performing a routine urinalysis via dipstick in the office setting for a patient presenting with symptoms of a urinary tract infection.
  • Bill L181 when monitoring chronic conditions such as diabetes or renal disease where a point-of-care urine dipstick is medically necessary during the encounter.

Common Pitfalls

  • Do not bill L181 in conjunction with a laboratory requisition for a formal urinalysis (G009) or urine culture (G010) performed at an external lab, as this constitutes double-billing for the same diagnostic intent.
  • Avoid billing L181 if the urinalysis is performed as part of a comprehensive physical examination (K013) or periodic health visit, as the laboratory component is considered inclusive of the global assessment fee.

Billing Tips

  • Ensure the clinical indication for the dipstick is clearly noted in the chart, as L181 is frequently flagged during Ministry of Health audits when performed without a documented acute diagnostic requirement.
Provider Fee$1.28

Effective: April 1, 2018

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