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L556

L556L556

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L556 for the laboratory requisition and processing of a standard Pap smear (cervical cytology) when performed in a primary care setting.
  • Apply this code when submitting a cervical screening specimen to a provincial laboratory for cytological examination.

Common Pitfalls

  • Do not bill L556 in addition to a physical examination fee if the Pap smear is the sole purpose of the visit, as the visit fee already covers the specimen collection.
  • Avoid billing L556 if the specimen is sent to a private laboratory, as these facilities typically have their own billing arrangements that do not utilize OHIP laboratory codes.

Billing Tips

  • Ensure the L556 code is linked to the correct diagnostic code for cervical screening (e.g., V76.2) to prevent automatic rejection by the Ministry.
Provider Fee$4.70

Effective: April 1, 2018

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