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L627

L627L627

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L627 for the professional component of a diagnostic Pap smear when the specimen is collected and submitted for cytology.
  • Apply this code when billing for the interpretation of a cervical or vaginal smear in conjunction with a clinical examination.

Common Pitfalls

  • Billing L627 on the same day as a general assessment code like A007 without a valid diagnostic modifier can trigger a rejection for unbundling.
  • Submitting L627 when the laboratory service is already covered under a global hospital or clinic fee schedule leads to duplicate billing audits.

Billing Tips

  • Ensure the diagnostic code linked to L627 justifies the cytology request to avoid manual review or rejection by the Ministry.
Provider Fee$12.41

Effective: April 1, 2018

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