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L866
L866 – Surgical Pathology, Level 6
OHIP Diagnostic and Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
Gross and microscopic examination of the specimens listed for Level 6, including: bone (resection); breast (mastectomy with regional lymph nodes); colon (segmental resection for neoplasm); colon (total resection); extremity (disarticulation); fetus (with dissection); larynx (partial or total resection with regional lymph nodes); lung (partial or total resection); oesophagus (partial or total resection); pancreas (partial or total resection); prostate (radical resection); small intestine (resection for neoplasm); soft tissue neoplasm (extensive resection); stomach (partial or total resection for neoplasm); testis (neoplasm); tongue (resection for neoplasm); tonsil (resection for neoplasm); urinary bladder (partial or total resection); uterus with or without fallopian tubes and ovaries (neoplasm other than leiomyoma); vulva (partial or total resection).
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon, OralMaxillofacialSurgeon
All insured services must be documented in appropriate records. The record must 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. For pathology, this includes the full pathology report with gross and microscopic findings, and final diagnosis.
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