All codes
L437
L437 – L437
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L437 for the professional component of a diagnostic Pap smear when the specimen is collected and submitted for cytological examination.
- Apply this code when billing for the interpretation of a cervical or vaginal smear in a primary care or specialist office setting.
Common Pitfalls
- Do not bill L437 in conjunction with a general office visit fee (A007) unless a separate, identifiable clinical assessment is performed and documented.
- Avoid billing L437 if the laboratory processing the specimen is already billing the technical component, as this may trigger a duplicate claim rejection.
Billing Tips
- Ensure the diagnostic code reflects the specific indication for the smear (e.g., abnormal findings or follow-up) to justify the professional fee.
Provider Fee$12.93
Effective: July 1, 2010
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