All codes
L623
L623 – L623
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L623 for the professional component of a diagnostic Pap smear when the specimen is collected during a visit and sent to an external laboratory.
- Use this code when you are billing for the technical and professional component of a cervical cytology screening performed in-office, provided you meet the specific laboratory accreditation requirements.
Common Pitfalls
- Billing L623 in conjunction with a general assessment code like A007 is often rejected unless the Pap smear is the sole reason for the visit or a distinct clinical issue is documented.
- Submitting L623 when the laboratory processing the specimen is already billing the Ministry for the technical component will trigger a duplicate payment rejection.
Billing Tips
- Ensure the diagnostic code used for L623 matches the specific indication for the Pap smear, such as abnormal bleeding or follow-up of a previous abnormal result, to avoid audit flags.
Provider Fee$12.93
Effective: July 1, 2010
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