All codes
L440
L440 – L440
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L440 when performing a diagnostic or therapeutic aspiration of a joint or bursa, such as a knee or shoulder, in an office setting.
- Use L440 for the aspiration of a cyst or ganglion when the procedure is performed as a standalone service rather than part of a minor surgery.
- Use L440 when performing a diagnostic aspiration of a hematoma or seroma that does not require the more complex incision and drainage procedures defined by codes like Z315.
Common Pitfalls
- Billing L440 in conjunction with a minor surgery code (e.g., Z315) for the same site will result in a rejection for duplicate service or unbundling.
- Attempting to bill L440 alongside a consultation or assessment code (A007/A005) is often flagged unless the procedure is medically necessary and distinct from the assessment.
- Failing to include the specific anatomical site in the claim submission can lead to manual review or rejection by the Ministry.
Billing Tips
- If you perform an injection (e.g., corticosteroid) immediately following the aspiration, you may bill the injection code (G372) in addition to L440, provided you use the appropriate diagnostic code for each.
Provider Fee$12.93
Effective: July 1, 2010
Since Oct 1989, this fee has increased 0.0% vs 13.1% CPI inflation
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