All codes
L425
L425 – L425
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L425 for the collection of a cervical smear (Pap test) when performed as a standalone procedure or as part of a general examination.
- Bill L425 when the primary purpose of the visit is the screening procedure, rather than a comprehensive physical examination billed under A007 or A003.
Common Pitfalls
- Do not bill L425 in addition to a comprehensive physical examination (A007 or A003) as the Pap test is considered included in the global fee for the physical.
- Avoid billing L425 if the patient is already being seen for a specific diagnostic problem where the Pap test is incidental, as this may be flagged as unbundling.
Billing Tips
- Ensure the laboratory requisition is clearly linked to the L425 service date to support the claim during a potential audit.
Provider Fee$28.44
Effective: July 1, 2010
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