All codes
L185
L185 – L185
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L185 for the laboratory requisition of a routine complete blood count (CBC) when performed as a standalone diagnostic investigation.
- Apply this code when ordering a basic hematology panel for a patient presenting with non-specific fatigue or suspected anemia.
- Select L185 when the diagnostic intent is strictly limited to the CBC, distinguishing it from more comprehensive panels that might require L047 or L050.
Common Pitfalls
- Billing L185 in conjunction with a comprehensive metabolic panel or other complex lab codes can trigger a rejection if the Ministry deems the services redundant or bundled.
- Submitting L185 for point-of-care testing performed in the office is a common audit error, as this code is intended for laboratory-processed specimens only.
- Failure to link the specific diagnostic code (ICD-9) to the L185 requisition often leads to payment denials for lack of medical necessity.
Billing Tips
- Ensure the L185 is billed only once per patient encounter, as multiple units for the same date of service are frequently flagged for manual review.
- Verify that the laboratory requisition form matches the billing code exactly to avoid discrepancies during automated Ministry reconciliation.
Provider Fee$20.68
Effective: July 1, 2010
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