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L309

L309L309

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L309 for the laboratory requisition of a complete blood count (CBC) when performed as a standalone service or in conjunction with a consultation.
  • Bill L309 when ordering a routine hematology profile for a patient presenting with symptoms of fatigue or suspected anemia.

Common Pitfalls

  • Do not bill L309 in addition to a comprehensive laboratory panel code if the panel already includes the CBC, as this constitutes unbundling.
  • Avoid billing L309 if the laboratory service is performed by a hospital-based lab that bills the Ministry directly, as this will result in a rejection for duplicate billing.

Billing Tips

  • Ensure the diagnostic code linked to L309 matches the clinical indication documented in the patient chart to avoid automated audit flags.
Provider Fee$11.00

Effective: April 1, 2018

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