All codes
L342
L342 – L342
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L342 for the professional component of a diagnostic Pap smear when the specimen is collected and processed in your office.
- Apply this code when submitting a claim for a cervical cytology screening where the laboratory analysis is performed by an external facility but the physician manages the collection and interpretation of the clinical findings.
Common Pitfalls
- Do not bill L342 in conjunction with a general assessment code like A007, as the laboratory component is considered bundled into the global fee for the visit.
- Avoid billing L342 if the specimen is sent to a hospital laboratory that bills the Ministry directly for the technical component, as this constitutes double-billing.
Billing Tips
- Ensure the diagnostic code used on the claim matches the clinical indication for the Pap smear to avoid automated rejections for frequency limits.
Provider Fee$25.85
Effective: July 1, 2010
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