What is OHIP billing code L805?

L805 is "Aspiration biopsy", an OHIP Dermatology code from the Ontario Schedule of Benefits (Physician Services).

How much does L805 pay?

The current OHIP fee for L805 is $93.35, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill L805 to OHIP?

L805 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates L805 claims against the Schedule of Benefits rules before submission.

All codes

L805

L805 – Aspiration biopsy

OHIP Dermatology Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits

Ask AI Bill This Code — Sign Up Free

L805 is a service for the interpretation of an aspiration biopsy, for example from the lung, breast, thyroid, or prostate. This service falls under the category of Anatomic Pathology - Cytopathology.

When to Use

Use L805 when performing the cytological interpretation of a fine needle aspiration (FNA) specimen obtained from a solid organ like the thyroid or breast.
Select L805 specifically for the professional interpretation component when the specimen is processed and reviewed as a cytopathology slide, distinguishing it from surgical pathology codes like E797.

Common Pitfalls

Billing L805 in conjunction with a surgical pathology code for the same specimen is a common cause of rejection due to duplicate billing for the same diagnostic event.
Submitting L805 for a core needle biopsy is an error, as core biopsies require histology-based surgical pathology codes rather than cytopathology aspiration codes.

Billing Tips

Ensure the laboratory requisition clearly identifies the procedure as a fine needle aspiration to support the use of the cytopathology fee schedule over histology-based codes.

Have a specific question? Ask our billing assistant

Provider Fee$93.35

Effective: April 1, 2026

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in