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L432

L432L432

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L432 for the professional fee associated with the collection of a cervical/vaginal smear for cytology when performed as a standalone service.
  • Bill L432 when the primary purpose of the office visit is the collection of a Pap smear, provided no other major assessment code is billed for the same encounter.

Common Pitfalls

  • Billing L432 in addition to a comprehensive assessment code like A007 or A003 is considered unbundling and will result in a rejection or recovery.
  • Attempting to claim L432 when the Pap smear is collected during a procedure where a tray fee or other procedural code already covers the collection process.

Billing Tips

  • If the patient presents for a Pap smear and a separate unrelated medical issue is addressed, bill the appropriate assessment code (e.g., A007) instead of L432 to maximize compensation.
Provider Fee$10.34

Effective: April 1, 2018

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