All codes
L634
L634 – L634
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L634 for the professional component of a diagnostic Pap smear or cytology specimen collection when performed in a clinical setting.
- Bill this code when the physician performs the physical collection of the specimen, distinct from the laboratory analysis fee.
Common Pitfalls
- Do not bill L634 in conjunction with an office visit fee (A007) if the collection is the sole purpose of the encounter, as the visit fee is intended to be comprehensive.
- Avoid billing L634 if the specimen collection is performed by a nurse or other non-physician staff member, as this is considered an overhead expense.
Billing Tips
- Ensure the diagnostic code linked to L634 justifies the necessity of the cytology collection to avoid automated rejections for lack of medical necessity.
Provider Fee$10.34
Effective: July 1, 2010
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