All codes
L640
L640 – L640
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L640 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 the laboratory for screening purposes in asymptomatic patients.
Common Pitfalls
- Do not bill L640 in conjunction with a general assessment code like A007, as the Pap smear is considered part of the periodic health examination.
- Avoid billing L640 if the patient is symptomatic and requires a diagnostic pelvic examination, as this may necessitate a different diagnostic code or a visit fee.
Billing Tips
- Ensure the laboratory requisition is clearly marked with the appropriate screening indication to avoid claim rejections related to medical necessity.
Provider Fee$3.10
Effective: July 1, 2010
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