All codes
L203
L203 – L203
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L203 for the professional component of a diagnostic Pap smear interpretation when you are the physician performing the cytological assessment.
- Select L203 when billing for the interpretation of a cervical or vaginal smear that does not meet the criteria for more complex cytopathology codes.
Common Pitfalls
- Avoid billing L203 in conjunction with a general office visit code (A007) on the same day, as the Ministry considers the interpretation fee inclusive of the professional service.
- Do not bill L203 if the laboratory facility has already claimed the global fee, as this will trigger a duplicate payment rejection.
Billing Tips
- Ensure the patient's health card number and the specific lab requisition identifier are correctly linked to the L203 claim to prevent automated rejection for missing diagnostic data.
Provider Fee$46.53
Effective: July 1, 2010
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