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L658

L658L658

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L658 for the collection of a specimen for a Pap smear during a routine or problem-based office visit.
  • Apply this code when performing a cervical or vaginal smear for cytology, distinct from the professional fee of the office visit itself.

Common Pitfalls

  • Billing L658 in conjunction with a K030 or K031 periodic health examination is disallowed as the specimen collection is considered included in the comprehensive visit fee.
  • Submitting L658 alongside a minor procedure code that already includes the cost of specimen collection will trigger a rejection for duplicate service.

Billing Tips

  • Ensure L658 is billed as a separate line item from the primary consultation or assessment code to avoid bundling denials.
Provider Fee$3.10

Effective: July 1, 2010

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