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L551

L551L551

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L551 for the laboratory handling of a single specimen, such as a routine urinalysis or a single swab, when the specimen is sent to an external laboratory.
  • Apply this code when the physician is responsible for the collection and preparation of a specimen that does not qualify for the more complex handling requirements of L552 or L553.

Common Pitfalls

  • Billing L551 in conjunction with a visit code (e.g., A007) for the same patient on the same day is often flagged; ensure the specimen collection is distinct and medically necessary.
  • Attempting to bill L551 for multiple specimens collected at the same encounter is a common error, as this code is intended for a single specimen handling event.

Billing Tips

  • Ensure the laboratory requisition clearly indicates the specimen type to support the L551 claim in the event of a post-payment audit.
Provider Fee$5.22

Effective: April 1, 2018

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