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L221

L221L221

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L221 for the professional component of a diagnostic Pap smear collection during a periodic health examination or problem-based visit.
  • Bill L221 when performing a cervical cytology screening in a primary care setting where the physician is responsible for the collection and preparation of the specimen.

Common Pitfalls

  • Do not bill L221 in addition to a general assessment code if the Pap smear is the sole purpose of the visit; use the appropriate minor assessment code instead.
  • Avoid billing L221 if the specimen collection is performed by a nurse or other staff member, as this code requires the physician to perform the service.

Billing Tips

  • L221 is a diagnostic code; ensure the associated laboratory requisition is clearly linked to the clinical indication to avoid rejection during audit.
Provider Fee$10.34

Effective: April 1, 2018

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