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L391

L391L391

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L391 when billing for the collection of a specimen for a throat swab or nasal swab for culture or rapid testing.
  • Use this code for the collection of a specimen for a wound swab or skin scraping when the physician performs the collection personally.

Common Pitfalls

  • Do not bill L391 in addition to an office visit fee (A007) if the specimen collection is considered an integral part of the examination.
  • Avoid billing L391 if the specimen collection is performed by nursing staff or other office personnel, as this code is intended for physician-performed collection.

Billing Tips

  • Ensure the laboratory requisition clearly indicates the specimen source to justify the L391 claim during a potential audit.
Provider Fee$3.98

Effective: April 1, 2018

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