All codes
L656
L656 – L656
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L656 for the professional component of a diagnostic Pap smear when the specimen is collected and submitted for cytological examination.
- Apply this code when billing for the interpretation of a cervical or vaginal smear specifically for malignancy screening.
Common Pitfalls
- Do not bill L656 in conjunction with a physical examination code if the Pap smear is the sole purpose of the visit, as the office visit fee already includes the collection.
- Avoid billing L656 if the laboratory is billing the technical component directly to OHIP, as this code represents the physician's professional fee for the review.
Billing Tips
- Ensure the diagnostic code on the claim matches the clinical indication for the smear to prevent automated rejections.
Provider Fee$4.31
Effective: April 1, 2018
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