All codes
L198
L198 – L198
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L198 for the laboratory requisition of a complete blood count (CBC) when performed in a physician's office or community lab setting.
- Apply this code when ordering a standard hematology panel that includes hemoglobin, hematocrit, red cell indices, and white cell count.
Common Pitfalls
- Do not bill L198 in conjunction with L047, as the CBC is often considered inclusive of broader hematology panels under specific laboratory fee schedule rules.
- Avoid billing L198 for point-of-care testing performed by the physician, as this code is intended for laboratory-processed specimens.
Billing Tips
- Ensure the diagnostic code linked to L198 justifies the medical necessity of the hematology investigation to avoid automated rejection for frequency limits.
Provider Fee$12.93
Effective: July 1, 2010
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