L800

PDF page 260 / A132

Comprehensive laboratory medicine consultation
                   This service is a consultation rendered by a specialist in laboratory medicine who provides all
                   the appropriate elements of a consultation and spends a minimum of 75 minutes in direct
                   contact with the patient, exclusive of time spent rendering any other separately billable
                   intervention to the patient.
               A580 Comprehensive laboratory medicine consultation ..................             342.25
                   Medical record requirements:
                   The start and stop times must be recorded in the patient’s permanent medical record or the
                   amount payable for the service will be adjusted to a lesser paying fee.
                                          [Commentary:
                                          1.A580 must satisfy all the elements of a consultation (see page GP16).
                                          2.Unless otherwise specified in the Schedule, the calculation of time for comprehensive
                                            laboratory medicine consultations excludes (1) time devoted to any other service or
                                            procedure for which an amount is payable in addition to the consultation and (2) non-patient-
                                            facing time such as such as time spent reviewing charts, imaging, or documentation, etc.]
                 Diagnostic consultation
                   A diagnostic laboratory medicine consultation is the service rendered when tissue, slides,
                   specimens and/or laboratory results prepared in one licensed laboratory are referred to a
                   laboratory medicine physician not in the same licensed laboratory for a written opinion. The
                   specific elements are the same as for the L800 series of codes (see page J60 to J62).
               A585 Diagnostic consultation........................................................... 106.50
                   Payment rules:
                   1.A diagnostic laboratory medicine consultation is not eligible for payment when tissues, slides,
                     specimens and/or laboratory results from a different licensed laboratory are used for
                     comparison purposes with tissues, slides, specimens and/or laboratory results done in the
                     consultant’s licensed laboratory.
                                          2.With the exception of those services set out in the section, “Special Procedures and
                                            Interpretation – Histology or Cytology”, any other services rendered by the physician in
                                            association with a diagnostic laboratory medicine consultation are not eligible for payment.

PDF page 478 / J64

DIAGNOSTIC AND THERAPEUTIC PROCEDURES
LABORATORY MEDICINE
                                                                                                            Fee
  Special Procedures and Interpretation - Histology or Cytology
L841 Enzyme histochemistry and interpretation - per enzyme........                                           16.05
L837 Immunohistochemistry, direct immunofluorescence, in situ
       hybridization, immunobead or other method and
       interpretation - per marker..................................................                         16.00
L868 Special histochemistry for identification of microorganisms ...                                         36.00
L869 Special histochemistry for identification of elements other than
       microorganisms ..................................................................                     16.00
L817 Anti-tissue antibodies and interpretation - per case................                                      6.20
L842   - anti-tissue antibodies, screening dilution, titration and
         interpretation .............................................................. add                     8.70
L844 Special microscopy including polarization, phase-contrast,
       differential interference contrast, dark field,
       autofluorescence, or other microscopy and interpretation .                                            25.75
L845 Specimen radiography or microradiography and interpretation                                             10.70
L816 Electron microscopy by TEM, STEM or SEM technique ........                                            100.65
L836 Morphometry per parameter ...................................................                           25.40
L846 Flow cell cytometry and interpretation - per marker................                                     15.65
  Haematopathology
L800 Blood film interpretation (Romanowsky stain) ........................                                   29.40
L826 Blood film interpretation (special stain)...................................                            16.05
L802 Bone marrow interpretation (Romanowsky stain)...................                                       64.45
Z403 Bone marrow aspiration and/or core biopsy ...........................                                 133.55
L829 Haemoglobinopathy interpretation (payable for abnormal
       results only) ........................................................................                25.70

Master, record 3576. Record Layout PDF, page 1.

L80020260401999999990000029400000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.