All codes
L265
L265 – L265
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L265 for the laboratory requisition of a complete blood count (CBC) when performed as a standalone service or in conjunction with an office visit.
- Apply this code when ordering a routine hematology profile for monitoring chronic conditions like anemia or suspected infection.
Common Pitfalls
- Do not bill L265 if the laboratory test is performed by an external facility that bills OHIP directly, as this constitutes double-billing.
- Avoid billing L265 alongside a comprehensive assessment code if the laboratory work is considered an integral part of the global fee for a specific procedure or diagnostic bundle.
Billing Tips
- Ensure the laboratory requisition clearly specifies the clinical indication to justify the medical necessity of the CBC, as this is the primary target for Ministry of Health audits.
Provider Fee$3.10
Effective: July 1, 2010
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