All codes
L406
L406 – L406
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L406 for the laboratory requisition of a complete blood count (CBC) when performed as a standalone service or in conjunction with other lab tests.
- Apply this code when ordering routine hematological investigations that do not fall under more specific diagnostic panels.
Common Pitfalls
- Billing L406 in addition to a comprehensive diagnostic code that already includes the CBC component, leading to duplicate billing rejections.
- Attempting to bill L406 alongside an office visit fee (A007) when the lab work is the sole purpose of the visit, which is prohibited under the Schedule of Benefits.
Billing Tips
- Ensure the laboratory requisition is clearly linked to the diagnostic code in your EMR to prevent audit flags regarding medical necessity.
Provider Fee$2.59
Effective: July 1, 2010
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