All codes
L655
L655 – L655
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L655 for the professional fee component of a routine complete blood count (CBC) when performed in a physician's office laboratory.
- Apply this code specifically when the laboratory test is medically necessary and the results are documented in the patient's chart to support the diagnostic process.
Common Pitfalls
- Billing L655 in conjunction with a hospital-based laboratory test is a common error, as the hospital claims the technical component and the physician cannot claim the professional fee for the same test.
- Submitting L655 without a corresponding diagnostic code or clinical indication in the patient record will trigger an automatic rejection during OHIP manual reviews.
Billing Tips
- Ensure your office laboratory meets the provincial requirements for accreditation, as claims for L655 are subject to audit verification of the facility's certification status.
Provider Fee$2.78
Effective: April 1, 2018
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