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L819

L819Basic seminal fluid analysis for infertility

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

Basic seminal fluid analysis for infertility, including count, motility and morphology

When to Use

  • Use L819 when performing a comprehensive semen analysis for infertility that includes count, motility, and morphology as defined by current WHO standards.
  • Use L819 as the primary diagnostic code for initial male factor infertility investigations, rather than billing individual components separately.

Common Pitfalls

  • Billing L820 on the same day as L819 will trigger an automatic rejection because L820 is considered an integral component of the L819 procedure.
  • Submitting L819 without documentation of all three required elements (count, motility, and morphology) is a frequent cause of audit recovery.

Billing Tips

  • Ensure your laboratory report template explicitly lists count, motility, and morphology to align with the WHO manual requirements mandated by the L819 service definition.
Provider Fee$13.95

Effective: April 1, 2026

Category

J. Diagnostic and Therapeutic Procedures

Subcategory

DIAGNOSTIC AND THERAPEUTIC PROCEDURES

Service Type

Laboratory

Code Classes

Diagnostic and Therapeutic Procedures

Referral RequiredFrom: Physician, NursePractitioner

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