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L405

L405L405

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L405 for the collection of a venous blood sample by venipuncture when the physician performs the draw personally.
  • Bill L405 when a patient requires a blood draw for laboratory testing during an office visit where no other procedure code is applicable for the collection.

Common Pitfalls

  • L405 is considered a 'by report' or minor service that is often bundled into the assessment fee (A007/A001) if performed during the same encounter.
  • Billing L405 in addition to a minor surgical procedure code or a specific diagnostic test that already includes the cost of specimen collection will result in a rejection for duplicate billing.

Billing Tips

  • Ensure the laboratory requisition clearly indicates the physician performed the venipuncture to support the claim if audited for the necessity of the service.
Provider Fee$6.81

Effective: April 1, 2018

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