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L596

L596L596

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L596 for the professional component of a diagnostic Pap smear screening in an asymptomatic patient.
  • Apply this code when billing for the interpretation of a cervical cytology specimen collected during a routine health examination.

Common Pitfalls

  • Do not bill L596 in conjunction with a diagnostic visit code like A007 if the Pap smear is the sole purpose of the encounter, as the visit fee is intended to cover the service.
  • Avoid billing L596 if the specimen is collected for a symptomatic patient requiring a diagnostic workup, as this may require a different laboratory requisition or billing pathway.

Billing Tips

  • Ensure the laboratory requisition is clearly marked with the appropriate screening indicator to prevent rejection of the professional fee claim.
Provider Fee$7.70

Effective: April 1, 2018

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