All codes
L828
L828 – Interpretation of Hormone Receptors for Carcinoma
OHIP Dermatology Code — Laboratory Medicine · Schedule of Benefits
Interpretation of hormone receptors for carcinoma to include estrogen and/or progesterone assays.
When to Use
- Use L828 when providing a formal pathology interpretation of estrogen or progesterone receptor status for a confirmed carcinoma diagnosis.
- Apply this code specifically for the professional interpretation component when the assay is performed on breast carcinoma tissue samples.
Common Pitfalls
- Do not bill L828 in conjunction with G384, as the interpretation of hormone receptors is considered inclusive of the broader pathology reporting requirements for malignancy.
- Avoid billing L828 for immunohistochemistry (IHC) technical procedures, as this code is strictly for the professional interpretation of the receptor assay results.
Billing Tips
- Ensure the pathology report explicitly documents the receptor status interpretation to support the claim during a potential audit.
Provider Fee$7.95
Specialist Fee$0.00
Surgical Assistant Fee$0.00
Anaesthetist Fee$0.00
Non-Anaesthetist Fee$0.00
Effective: April 1, 2025
Category
Diagnostic and Therapeutic Procedures
Subcategory
Laboratory Medicine
Service Type
Diagnostic
Code Classes
Diagnostic and Therapeutic Procedures
Referral RequiredFrom: Physician, NursePractitioner
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.