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C330
C330 – Radiology second opinion of CT study
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Radiology second opinion of one CT study. As a 'C' prefix code, this service applies to acute care hospital non-emergency in-patient services (). Payment is subject to the same conditions as A330.
When to Use
- Use C330 when providing a formal, requested second opinion on a CT study for an acute care hospital in-patient, where the original interpretation was performed by a different radiologist.
- Use C330 for complex cases where a sub-specialty review is requested by the attending physician to guide immediate clinical management for an admitted patient.
Common Pitfalls
- Billing C330 for routine quality assurance or peer review programs, which are not eligible for fee-for-service payment.
- Failing to document the specific written request from the referring physician, which is a mandatory audit requirement for C330.
- Attempting to bill C330 for a second opinion on a study where you were the original reporting radiologist, which is strictly prohibited.
Billing Tips
- Ensure your second opinion report is distinct and clearly identifies the clinical question being addressed to satisfy the documentation requirements shared with A330.
- If the second opinion is required urgently for an acute care in-patient during after-hours, ensure you append the appropriate Non-Elective Diagnostic Interpretation Premium to maximize the claim.
Provider Fee$0.00
Specialist Fee$89.50
Effective: June 1, 2025
Category
A. Consultations and Visits
Subcategory
CONSULTATIONS AND VISITS
Service Type
Diagnostic
Code Classes
Hospital and Institutional Consultations and Assessments, Diagnostic Radiology
Subject to the same conditions as A330.
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