All codes
L252
L252 – L252
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L252 for the laboratory requisition of a complete blood count (CBC) when performed in a physician's office or community lab setting.
- Apply this code when billing for the professional component of a routine hematology profile that does not include specialized differential counts requiring higher-tier codes.
Common Pitfalls
- Billing L252 in conjunction with a full office visit fee (A007) is often flagged if the lab work is the sole purpose of the visit, as the lab fee is intended to cover the technical requisition process.
- Submitting L252 for tests performed in a hospital setting is a common error, as hospital-based lab services are typically covered under the facility's global budget and not billed via individual physician claims.
Billing Tips
- Ensure that the diagnostic code linked to L252 matches the clinical indication documented in the patient chart to avoid automated rejections for lack of medical necessity.
Provider Fee$1.16
Effective: April 1, 2018
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