All codes
L199
L199 – L199
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L199 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 billing for the professional component of a standard hematology panel that does not meet the criteria for more complex diagnostic codes.
Common Pitfalls
- Do not bill L199 in conjunction with a comprehensive diagnostic panel code if the specific test is already bundled into the higher-value fee.
- Avoid using L199 for point-of-care testing performed by the physician, as this code is intended for laboratory-specific requisitions.
Billing Tips
- Ensure the diagnostic code linked to L199 justifies the medical necessity of the hematology test to avoid automated rejection during OHIP claim processing.
Provider Fee$12.93
Effective: July 1, 2010
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