All codes
L267
L267 – L267
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L267 for the professional component of a diagnostic Pap smear when the specimen is collected during a physical examination or focused gynecological visit.
- Apply this code when submitting the technical component for a cervical cytology screening in a primary care setting where the physician manages the laboratory processing or submission.
Common Pitfalls
- Do not bill L267 in addition to a comprehensive physical exam code like A007, as the Pap smear collection is considered bundled into the physical examination fee.
- Avoid billing L267 if the laboratory performing the analysis bills the OHIP fee directly, as this results in a duplicate claim rejection.
Billing Tips
- Ensure the diagnostic code used for L267 matches the reason for the smear, such as abnormal findings or follow-up for previous dysplasia, to avoid manual review.
Provider Fee$3.62
Effective: July 1, 2010
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