All codes
L999
L999 – L999
OHIP Dermatology Code · Schedule of Benefits
When to Use
- Use L999 as a miscellaneous laboratory code only when no specific laboratory fee code exists in the Schedule of Benefits for the test performed.
- Apply this code when billing for an approved laboratory service that lacks a unique identifier, provided the service is listed in the Laboratory Services Fee Schedule.
Common Pitfalls
- Billing L999 for services that have a specific code, such as those found in the L-series, will result in automatic rejection or recovery during an audit.
- Submitting L999 without an accompanying diagnostic code or laboratory requisition reference often leads to manual review and potential claim denial.
Billing Tips
- Always verify the Laboratory Services Fee Schedule before using L999, as many common tests have specific codes that pay significantly higher than the $2.59 miscellaneous rate.
Provider Fee$2.59
Effective: July 1, 2010
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