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L202
L202 – L202
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L202 for the professional component of a diagnostic Pap smear when the physician performs the collection and interpretation of the slide.
- Apply this code when billing for a cervical or vaginal smear that requires microscopic examination to screen for malignancy.
Common Pitfalls
- Do not bill L202 in conjunction with a general office visit fee (A007) if the Pap smear is the sole purpose of the visit, as the office visit is considered inclusive.
- Avoid billing L202 if the specimen is sent to an external laboratory for processing, as the lab will claim the technical component of the service.
Billing Tips
- Ensure the diagnostic code reflects the reason for the smear, such as screening (Z12.4) or a specific clinical indication, to avoid rejection for lack of medical necessity.
Provider Fee$15.78
Effective: April 1, 2018
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