All codes
L558
L558 – L558
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L558 specifically for the collection of a cervical smear (Pap test) when performed as a standalone procedure or in conjunction with a visit.
- Bill L558 when the primary purpose of the encounter is the collection of the specimen, distinct from a general physical examination or periodic health visit.
Common Pitfalls
- Do not bill L558 if the Pap test is performed during a periodic health visit (K013) or an annual physical, as the collection is considered bundled into those comprehensive codes.
- Avoid billing L558 alongside a minor assessment (A007) if the assessment does not meet the criteria for a separate, distinct clinical problem requiring a full examination.
Billing Tips
- L558 is a tray fee/technical component; ensure your EMR is configured to bill this in addition to the appropriate assessment code (A007) when the Pap test is the primary reason for the visit.
Provider Fee$6.20
Effective: July 1, 2010
Since Oct 1989, this fee has increased 0.0% vs 13.1% CPI inflation
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