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L419

L419L419

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L419 for the collection of a cervical or vaginal Pap smear during a periodic health examination or a problem-based visit.
  • Bill L419 when performing a cervical cytology specimen collection as a standalone procedure when no other assessment code is claimed.

Common Pitfalls

  • Do not bill L419 in addition to a comprehensive assessment code like A007 or A003, as the specimen collection is considered bundled into the assessment fee.
  • Avoid claiming L419 if the Pap smear is performed during a visit where a procedural code with a higher relative value that includes specimen collection is already being billed.

Billing Tips

  • Claim L419 only when the primary purpose or a significant component of the encounter is the collection of the cervical cytology specimen.
Provider Fee$15.39

Effective: April 1, 2018

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