All codes
L412
L412 – L412
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L412 for the professional component of a diagnostic Pap smear when the physician performs the collection and interpretation of the slide.
- Use this code for cervical cytology screening in symptomatic patients where the specimen is processed and reviewed by the physician rather than sent to an external laboratory.
Common Pitfalls
- Do not bill L412 in conjunction with a general office visit fee like A007, as the laboratory component is considered inclusive of the professional service.
- Avoid billing L412 if the specimen is sent to an external pathology lab, as the lab will claim the technical fee and you cannot claim the professional component separately.
Billing Tips
- Ensure the patient's health card number and the specific diagnostic indication are clearly linked to the L412 claim to avoid automatic rejection for lack of medical necessity.
Provider Fee$33.61
Effective: July 1, 2010
Since Oct 1989, this fee has increased 0.0% vs 13.1% CPI inflation
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