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L865 – Surgical Pathology, Level 5

OHIP Diagnostic and Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits

Surgical Pathology, Level 5, is an anatomical pathology service involving the gross and microscopic examination and interpretation of a complex surgical specimen, designated as level 5 within the pathology fee schedule structure. This service is one of several tiered levels for surgical pathology, reflecting a high degree of complexity.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon, Midwife
All insured services must be documented in appropriate records. The Act requires that the record 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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