All codes
L631
L631 – L631
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L631 for the professional component of a diagnostic Pap smear when the specimen is collected and prepared by the physician.
- Apply this code when submitting a cervical cytology specimen to a laboratory for interpretation, provided the physician performed the collection procedure.
Common Pitfalls
- Do not bill L631 in addition to a general assessment code like A007, as the collection of a Pap smear is considered an integral part of the physical examination.
- Avoid billing L631 if the laboratory performs the collection, as the fee is intended to compensate the physician for the clinical time and materials involved in the collection process.
Billing Tips
- Ensure the diagnostic code reflects the clinical indication for the screening, such as a routine check or follow-up for abnormal results, to avoid payment rejections.
Provider Fee$19.95
Effective: April 1, 2018
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