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L659

L659L659

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L659 for the laboratory requisition of a routine complete blood count (CBC) when ordered as a standalone investigation.
  • Apply this code when ordering a basic urinalysis or a single routine chemistry test that does not fall under a more specific panel code.

Common Pitfalls

  • Billing L659 in addition to a comprehensive panel code that already includes the specific test requested will result in a rejection for duplicate service.
  • Submitting L659 for tests performed within the office rather than sent to an external laboratory is a frequent audit trigger for inappropriate billing.

Billing Tips

  • Ensure the diagnostic code linked to L659 justifies the medical necessity of the test to avoid manual review or rejection by the Ministry.
Provider Fee$9.12

Effective: April 1, 2018

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