All codes
L251
L251 – L251
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L251 for the laboratory requisition of a complete blood count (CBC) when performed as a standalone service.
- Apply this code when billing for the processing of a standard hematology panel requisition in an office setting.
Common Pitfalls
- Do not bill L251 in conjunction with a physical examination or office visit code, as the laboratory fee is often considered bundled or ineligible for separate payment during a comprehensive encounter.
- Avoid billing L251 if the laboratory test was performed by an external hospital or community lab, as the facility typically bills the technical component directly to OHIP.
Billing Tips
- Ensure the diagnostic code linked to L251 justifies the medical necessity of the CBC to prevent automated rejections for frequency limits.
Provider Fee$1.28
Effective: April 1, 2018
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