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L421

L421L421

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L421 for the laboratory requisition of a complete blood count (CBC) when performed as a standalone service.
  • Use L421 when ordering a standard hematology panel that does not qualify for more specific, higher-value laboratory codes.

Common Pitfalls

  • Billing L421 in conjunction with a visit fee (like A007) is often flagged if the laboratory work is not clearly distinct from the assessment provided.
  • Submitting L421 for tests that are bundled into a global fee or specific diagnostic procedure codes will result in automatic rejection.

Billing Tips

  • Ensure the laboratory requisition is clearly linked to the diagnostic necessity documented in the patient chart to avoid audit recovery.
Provider Fee$3.10

Effective: July 1, 2010

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