All codes
L411
L411 – L411
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L411 for the professional component of a diagnostic Pap smear when the physician performs the collection and interpretation or review of the specimen.
- Apply this code when submitting a cervical cytology specimen for laboratory analysis in conjunction with a clinical examination.
Common Pitfalls
- Billing L411 in addition to a general assessment code like A007 is often flagged if the documentation does not clearly separate the diagnostic procedure from the office visit.
- Submitting L411 without the corresponding laboratory requisition or pathology report reference can lead to automatic rejections during OHIP reconciliation.
Billing Tips
- Ensure the diagnostic code linked to L411 reflects the specific indication for the smear, such as abnormal findings or routine screening, to avoid payment delays.
Provider Fee$23.70
Effective: April 1, 2018
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