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L196

L196L196

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L196 for the laboratory requisition of a complete blood count (CBC) when performed as a standalone service.
  • Use this code when billing for a routine hemoglobin and hematocrit test performed in the office laboratory.

Common Pitfalls

  • Do not bill L196 in addition to a comprehensive office visit code if the laboratory service is considered part of the global fee for the visit.
  • Avoid billing L196 if the specimen is sent to an external community laboratory, as the laboratory itself bills the Ministry directly for the analysis.

Billing Tips

  • Ensure the laboratory requisition is clearly documented in the patient chart to support the claim if audited for the performance of the test.
Provider Fee$7.76

Effective: July 1, 2010

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