All codes
L378
L378 – L378
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L378 to bill for the collection of a specimen for a Pap smear when performed as a standalone service or in conjunction with a visit.
- Apply this code when the physician personally performs the cervical/vaginal smear collection, distinct from the laboratory analysis fee.
Common Pitfalls
- Billing L378 in addition to a comprehensive physical exam (K013) is often flagged as unbundling, as the collection is considered part of the global fee for the examination.
- Submitting L378 without a corresponding diagnostic code that justifies the necessity of the screening or investigation will lead to automatic rejection.
Billing Tips
- Ensure L378 is billed only when the physician performs the procedure; do not bill this code if a nurse or other staff member collects the specimen.
Provider Fee$7.76
Effective: July 1, 2010
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