All codes
L240
L240 – L240
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L240 for the professional component of a diagnostic Pap smear collection performed during an office visit.
- Bill L240 when a physician performs a cervical cytology screening in conjunction with a periodic health exam or problem-based visit where the primary service is billed separately.
Common Pitfalls
- Do not bill L240 if the Pap smear is performed by a nurse or other staff member, as this code requires the physician to perform the collection.
- Avoid billing L240 on the same day as a minor procedure or consultation if the collection is considered part of the global fee for those services.
- Claims for L240 are frequently rejected if the diagnostic code does not support the medical necessity of a cervical screening or follow-up.
Billing Tips
- Ensure you append the appropriate diagnostic code (e.g., Z12.4 for routine screening) to avoid automatic rejection for lack of medical necessity.
Provider Fee$7.76
Effective: July 1, 2010
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