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L835

L835Histochemistry of Muscle - Each Additional Enzyme

OHIP Dermatology Code — Laboratory Medicine · Schedule of Benefits

This service covers the special procedure and interpretation for each additional enzyme in the histochemistry of a muscle specimen. It is billed in addition to L834 (Histochemistry of muscle - 1 to 3 enzymes) for any enzymes beyond the first three.

When to Use

  • Use L835 for the fourth, fifth, and subsequent enzyme histochemical stains performed on a muscle biopsy specimen after the initial three are covered by L834.
  • Apply this code when a complex diagnostic workup requires a broader panel of metabolic enzymes, such as specific mitochondrial or glycogen storage disease markers, beyond the standard L834 baseline.

Common Pitfalls

  • Billing L835 without a corresponding L834 on the same claim will result in an automatic rejection as it is a strictly dependent add-on code.
  • Claiming L835 for the first three enzymes is a billing error, as these are already bundled into the L834 fee.
  • Failing to document the specific number of additional enzymes performed can lead to audit discrepancies if the claim quantity does not match the laboratory report.

Billing Tips

  • Ensure the quantity field in your billing software reflects the exact number of additional enzymes performed beyond the first three covered by L834.
  • Verify that the laboratory requisition clearly lists every enzyme performed to support the total quantity of L835 units claimed.
Provider Fee$15.60
Specialist Fee$0.00
Surgical Assistant Fee$0.00
Anaesthetist Fee$0.00
Non-Anaesthetist Fee$0.00

Effective: April 1, 2025

Since Apr 2004, this fee has increased 96.2% vs 57.0% CPI inflation
Category

Diagnostic and Therapeutic Procedures

Subcategory

Laboratory Medicine

Service Type

Laboratory

Code Classes

Diagnostic and Therapeutic Procedures

Referral RequiredFrom: Physician, NursePractitioner

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L835 – Histochemistry of Muscle - Each Additional Enzyme | OHIP Fee Schedule | SnapBill MD