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L335

L335L335

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L335 for the professional component of a diagnostic Pap smear when the physician performs the collection and interpretation of the slide.
  • Apply this code when submitting for a routine cervical cytology screening in an office setting where the physician is responsible for the specimen preparation and clinical assessment.

Common Pitfalls

  • Do not bill L335 in conjunction with a general assessment code like A007, as the laboratory component is typically bundled or claimed separately by the facility.
  • Avoid billing L335 if the specimen is sent to an external laboratory that bills OHIP directly for the cytology service, as this constitutes double-billing.

Billing Tips

  • Ensure the diagnostic code linked to L335 supports the medical necessity of the screening to avoid automatic rejections during Ministry reconciliation.
Provider Fee$20.68

Effective: April 1, 2018

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