All codes
L628
L628 – L628
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L628 for the professional component of a diagnostic Pap smear when the specimen is collected and processed in the office for laboratory analysis.
- Apply this code when billing for the interpretation and reporting of a cervical cytology specimen that does not meet the criteria for a more complex pathology examination.
Common Pitfalls
- Billing L628 in conjunction with a general office visit fee (A007) is often flagged by OHIP unless the visit is for a separate, unrelated clinical issue.
- Submitting L628 without the corresponding laboratory requisition number or site-specific diagnostic code can result in automatic rejection.
Billing Tips
- Ensure the patient's health card number and the specific laboratory facility code are correctly linked to the L628 claim to avoid reconciliation errors.
Provider Fee$12.93
Effective: July 1, 2010
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