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L456
L456 – L456
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L456 for the professional component of a diagnostic Pap smear when the physician performs the collection and interpretation in a clinical setting.
- Apply this code when the clinical encounter is specifically focused on cervical cancer screening and the specimen is processed for cytological examination.
Common Pitfalls
- Do not bill L456 in conjunction with a general office visit code like A007, as the service is considered inclusive of the assessment during the same encounter.
- Avoid using L456 for routine pelvic exams that do not involve the collection of a cytological specimen, as this will trigger a rejection for lack of diagnostic necessity.
Billing Tips
- Ensure the diagnostic code linked to L456 reflects the specific screening indication or abnormal finding to prevent automated audit flags.
Provider Fee$38.78
Effective: July 1, 2010
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