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L585

L585L585

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L585 as a mandatory administrative code to indicate the completion of a specific diagnostic or therapeutic procedure when required by the Schedule of Benefits.
  • Apply this code when linking a secondary service or diagnostic test that requires a primary procedure code to be present on the same claim for validation.

Common Pitfalls

  • Billing L585 as a standalone service will result in an automatic rejection as it carries a zero-dollar fee and is strictly a tracking or validation code.
  • Failing to include the corresponding primary procedure code on the same claim will cause the Ministry to flag the submission for missing mandatory information.

Billing Tips

  • Ensure L585 is submitted on the same claim record as the primary procedure to satisfy the Ministry's validation requirements for the associated service.
Provider Fee$0.00

Effective: July 1, 2010

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