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L490

L490L490

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L490 when performing a routine venipuncture for blood collection that is not part of a more comprehensive procedure code.
  • Bill L490 when the physician or staff collects a blood specimen for laboratory analysis during an office visit where no other procedural fee is claimed.

Common Pitfalls

  • Do not bill L490 in addition to a visit fee (A007, A001) as the collection of blood is considered an integral part of the office assessment.
  • Avoid billing L490 if the blood collection is performed by a laboratory technician in a separate facility, as the fee is intended for the physician's office overhead.

Billing Tips

  • Ensure that L490 is only claimed when the blood collection is the primary reason for the patient's attendance or when it is the only service provided during that specific encounter.
Provider Fee$8.03

Effective: April 1, 2018

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