All codes
L253
L253 – L253
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L253 for the professional component of a diagnostic Pap smear or cervical cytology screening when performed in a clinical setting.
- Apply this code when submitting the technical or professional fee for a routine gynecological screening test that does not meet the criteria for more complex diagnostic pathology codes.
Common Pitfalls
- Avoid billing L253 in conjunction with a full physical examination code like A007, as the laboratory component is often considered bundled or requires specific diagnostic justification.
- Do not bill L253 if the specimen is sent to an external laboratory that bills OHIP directly for the technical component, as this will result in a duplicate claim rejection.
Billing Tips
- Ensure the diagnostic code associated with the claim reflects a screening indication or specific gynecological symptom to prevent automated rejection for lack of medical necessity.
Provider Fee$2.15
Effective: April 1, 2018
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.