All codes
L415
L415 – L415
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L415 for the collection of a venous blood sample by venipuncture when performed as a standalone service.
- Bill this code when a patient presents specifically for a blood draw requested by another physician or for routine monitoring where no other assessment code is claimed.
Common Pitfalls
- Do not bill L415 in addition to an office visit assessment code (e.g., A007) as the venipuncture is considered included in the assessment fee.
- Avoid claiming L415 if the blood collection is performed by a nurse or technician in a facility where the physician is already receiving overhead or global funding for laboratory services.
Billing Tips
- Ensure the laboratory requisition is clearly documented in the chart to support the medical necessity of the venipuncture if audited.
Provider Fee$3.18
Effective: April 1, 2018
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