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L863
L863 – Surgical Pathology, Level 3
OHIP Diagnostic and Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
L863 is for a Level 3 surgical pathology service. This involves the gross and microscopic examination and interpretation of a surgical specimen by a pathologist. This code is part of a multi-level system, including L861, L862, L864, L865, L866, and L867, where the level corresponds to the complexity of the specimen and the work required for diagnosis.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
All insured services must be documented in appropriate records to establish that: an insured service was provided; the service for which the account is submitted is the service that was rendered; and the service was medically necessary.
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