All codes
L629
L629 – L629
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L629 for the professional fee associated with the collection of a specimen for a Pap smear when performed in the office.
- Bill this code when a physician performs a cervical cytology screening during a visit where the primary purpose is not a comprehensive periodic health examination.
Common Pitfalls
- Do not bill L629 in addition to a comprehensive physical exam code like K013 or A007, as the specimen collection is considered bundled into the examination fee.
- Avoid billing L629 if the patient is seen solely for a consultation or a specific problem visit where the Pap smear was not the primary clinical focus of the encounter.
Billing Tips
- Ensure the laboratory requisition is clearly linked to the service date to support the claim if audited for the necessity of the specimen collection.
Provider Fee$11.09
Effective: April 1, 2018
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