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L451

L451L451

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L451 for the laboratory requisition of a complete blood count (CBC) when performed in a community setting.
  • Apply this code when ordering a standard hemoglobin and hematocrit assessment as part of routine anemia screening.

Common Pitfalls

  • Do not bill L451 in conjunction with A007 or other office visit codes, as the laboratory requisition fee is considered inclusive of the administrative work for the visit.
  • Avoid using L451 for tests that are not listed under the specific laboratory schedule, as this will lead to automatic rejection by the Ministry.

Billing Tips

  • Ensure the laboratory requisition is clearly linked to the diagnostic code that justifies the medical necessity of the CBC to avoid audit flags.
Provider Fee$1.79

Effective: April 1, 2018

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