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L266

L266L266

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L266 for the professional component of a diagnostic Pap smear collection performed during an office visit.
  • Bill L266 when a cervical screening is performed as a standalone procedure or in conjunction with a minor assessment, provided the criteria for a full physical exam are not met.

Common Pitfalls

  • Billing L266 in addition to a comprehensive physical exam code (K013) is considered double-dipping, as the collection is included in the physical fee.
  • Submitting L266 without a corresponding diagnostic code for the screening or follow-up will result in automatic rejection.

Billing Tips

  • You may claim a minor assessment code (A007) alongside L266 if a separate clinical issue is addressed during the same encounter, provided you use the appropriate diagnostic codes.
Provider Fee$9.12

Effective: April 1, 2018

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