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L685

L685L685

OHIP Dermatology Code · Schedule of Benefits

When to Use

  • Use L685 for the initial assessment and management of a patient presenting with a new or acute psychiatric condition when the visit duration exceeds 50 minutes.
  • Select L685 instead of A007 when the complexity of the psychiatric evaluation requires a comprehensive review of history and mental status that cannot be captured within a standard office visit timeframe.

Common Pitfalls

  • Billing L685 in conjunction with a standard office visit code (A007) for the same patient on the same day will trigger an automatic rejection for duplicate service.
  • Failure to document the start and end times of the session is a primary cause for recovery during OHIP audits, as L685 is time-dependent.

Billing Tips

  • Ensure the clinical notes explicitly detail the therapeutic interventions or diagnostic reasoning used during the session to justify the time spent beyond standard consultation codes.
Provider Fee$71.49

Effective: April 1, 2018

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