All codes
L619
L619 – L619
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L619 for the professional fee associated with the collection of a cervical smear or Pap test during an office visit.
- Bill L619 in conjunction with an office visit fee (e.g., A007) when the primary purpose of the encounter is a routine screening or diagnostic cervical examination.
Common Pitfalls
- Do not bill L619 as a standalone service if the patient is already being seen for a comprehensive physical examination (K013), as the Pap smear is considered part of the global physical fee.
- Avoid billing L619 if the cervical specimen is collected during a procedure where a different, more comprehensive surgical or procedural code is already being claimed for the same site.
Billing Tips
- Ensure the laboratory requisition is clearly linked to the patient's health card number to prevent reconciliation issues between the physician's claim and the lab's processing.
- If performing a pelvic exam for a specific complaint rather than screening, ensure the clinical notes justify the necessity of the smear to support the L619 claim during an audit.
Provider Fee$24.00
Effective: April 1, 2026
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