All codes
L416
L416 – L416
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L416 for the laboratory requisition of a complete blood count (CBC) when performed as a standalone diagnostic test.
- Use this code when ordering a hemoglobin and hematocrit assessment as part of a routine diagnostic workup.
Common Pitfalls
- Do not bill L416 in addition to a comprehensive panel code that already includes a CBC, as this constitutes unbundling.
- Avoid billing L416 on the same day as a visit code if the laboratory work is not medically necessary for the acute presentation of that specific encounter.
Billing Tips
- Ensure the laboratory requisition clearly indicates the clinical indication to justify the test, as L416 is frequently flagged for audit if the medical necessity is not evident in the patient's chart.
Provider Fee$7.76
Effective: July 1, 2010
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