All codes
L386
L386 – L386
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L386 for the laboratory requisition of a complete blood count (CBC) when performed as a standalone service or in conjunction with an office visit.
- Apply this code when ordering a routine hematological profile to investigate anemia or infection in an outpatient setting.
Common Pitfalls
- Do not bill L386 if the laboratory test is performed within a hospital setting, as these are typically covered under global hospital budgets rather than physician fee-for-service.
- Avoid billing L386 in combination with other laboratory codes if the services are bundled under a single requisition or diagnostic profile that OHIP considers a single encounter.
Billing Tips
- Ensure the laboratory requisition is clearly linked to the patient's diagnostic code to prevent rejection for lack of medical necessity.
Provider Fee$5.17
Effective: July 1, 2010
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