All codes
L436
L436 – L436
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L436 for the laboratory requisition of a complete blood count (CBC) when performed as a standalone diagnostic test.
- Apply this code when ordering a basic hematology profile for routine screening or monitoring of stable chronic conditions.
Common Pitfalls
- Do not bill L436 in conjunction with a comprehensive diagnostic panel if the specific laboratory test is already bundled into a higher-value global fee.
- Avoid billing L436 if the laboratory service was performed as part of a hospital-based visit where the facility fee covers the requisition process.
Billing Tips
- Ensure the diagnostic code linked to L436 justifies the medical necessity of the CBC to prevent automated rejections during OHIP claims processing.
Provider Fee$6.20
Effective: July 1, 2010
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