L820 – Smear for spermatozoa
OHIP Dermatology Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
L820 is a laboratory service under Anatomic Pathology - Cytopathology involving the microscopic examination of a smear for the detection of spermatozoa. This service is listed under the LABORATORY MEDICINE section of the Schedule of Benefits.
When to Use
- Use L820 when performing a microscopic examination of a vaginal or cervical smear specifically to detect the presence of spermatozoa in cases of suspected sexual assault.
- Use L820 for the laboratory analysis of a smear taken from a patient to confirm the presence of sperm when forensic or clinical evidence is required.
Common Pitfalls
- Billing L820 in conjunction with general cytology codes like L805 or L806 for the same specimen is often flagged as unbundling; ensure the service is distinct.
- Submitting L820 for routine fertility testing or semen analysis is inappropriate, as those services fall under different laboratory fee schedules and are not covered by this specific diagnostic code.
Billing Tips
- Ensure the laboratory requisition clearly specifies the clinical indication for the smear to prevent rejection for lack of medical necessity.
- Do not bill L820 if the examination is part of a comprehensive pathology report already covered by a global laboratory fee or a different diagnostic procedure code.
Effective: April 1, 2026
J. Diagnostic and Therapeutic Procedures
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Laboratory
Diagnostic and Therapeutic Procedures
As per , all insured services must be documented in appropriate records. The medical record must establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.
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