All codes
L661
L661 – L661
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L661 for the professional component of a diagnostic Pap smear when the specimen is collected by the physician and sent to a laboratory for interpretation.
- Apply this code when performing a routine cervical screening in an asymptomatic patient as part of an annual health examination or periodic health review.
Common Pitfalls
- Do not bill L661 in addition to a comprehensive assessment code like A007 or A003, as the Pap smear is considered part of the global fee for the office visit.
- Avoid billing L661 if the patient is symptomatic and requires a diagnostic pelvic examination, as this may trigger a rejection if the diagnostic code is not supported by the clinical notes.
Billing Tips
- Ensure the laboratory requisition clearly indicates the screening purpose to avoid potential audit flags regarding the necessity of the procedure.
Provider Fee$7.76
Effective: July 1, 2010
Since Oct 1989, this fee has increased 0.0% vs 13.1% CPI inflation
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