All codes
L213
L213 – L213
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L213 for the professional component of a diagnostic Pap smear when the specimen is collected and submitted for cytology.
- Use this code specifically for the screening or diagnostic examination of a cervical smear, distinct from the physical examination fee (A007 or A001).
Common Pitfalls
- Billing L213 in conjunction with a full physical examination (A007) is often flagged if the Pap smear is considered part of the routine preventive care included in the physical fee.
- Submitting L213 without the corresponding laboratory requisition or pathology report on file will result in a clawback during an OHIP audit.
Billing Tips
- Ensure the diagnostic code used on the claim matches the clinical indication for the Pap smear to avoid automated rejection.
Provider Fee$10.34
Effective: April 1, 2018
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