All codes
L254
L254 – L254
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L254 for the laboratory requisition of a complete blood count (CBC) when performed as a standalone diagnostic test.
- Apply this code when ordering a basic hematology profile for routine screening or monitoring of chronic conditions like anemia.
Common Pitfalls
- Billing L254 in conjunction with a comprehensive panel code that already includes a CBC will trigger a rejection for duplicate service.
- Submitting L254 for tests performed in a hospital setting is incorrect, as these are typically covered under global hospital funding rather than physician fee-for-service claims.
Billing Tips
- Ensure the diagnostic code linked to L254 justifies the medical necessity of the CBC to avoid manual review or audit flags.
Provider Fee$1.44
Effective: April 1, 2018
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