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L583

L583L583

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L583 for the professional component of a diagnostic Pap smear collection during a periodic health examination or problem-based visit.
  • Bill L583 when performing a cervical cytology screening in a primary care setting that is not part of a comprehensive preventative care visit covered by a global fee.

Common Pitfalls

  • Do not bill L583 in addition to a comprehensive health exam code like K013 or A007, as the collection is considered bundled into the global assessment fee.
  • Avoid billing L583 if the patient is already being seen for a procedure where the Pap smear is incidental, as this may trigger a duplicate service rejection.

Billing Tips

  • Ensure the laboratory requisition is clearly linked to the patient's health card number to prevent reconciliation errors between the physician's claim and the lab's diagnostic billing.
Provider Fee$25.85

Effective: July 1, 2010

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