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L552

L552L552

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L552 for the professional component of a diagnostic Pap smear screening in an office setting.
  • Apply this code when performing a cervical cytology collection during a periodic health examination or focused gynecological visit.

Common Pitfalls

  • Billing L552 in combination with a full physical examination code (K013) is often rejected as the collection is considered part of the global assessment.
  • Submitting L552 when the specimen is processed in-house rather than sent to a laboratory for cytology analysis will result in a claim rejection.

Billing Tips

  • Ensure the laboratory requisition is clearly linked to the service date to avoid discrepancies during OHIP reconciliation.
Provider Fee$5.22

Effective: April 1, 2018

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