All codes
L654
L654 – L654
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L654 for the collection of a venous blood sample by venipuncture when performed as a standalone service.
- Bill this code when the physician or authorized staff performs a phlebotomy procedure that is not bundled into a comprehensive office visit or consultation fee.
Common Pitfalls
- Billing L654 in addition to an office visit code (e.g., A007) is generally disallowed as the venipuncture is considered part of the assessment.
- Submitting L654 when the blood collection is performed by a laboratory technician in a facility where the physician is already claiming a facility fee or global laboratory component.
Billing Tips
- Ensure the clinical indication for the venipuncture is clearly linked to the specific laboratory tests ordered to justify the necessity of the procedure.
Provider Fee$9.12
Effective: April 1, 2018
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