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J010 – Lymphangiogram - per side

OHIP Clinical Procedures associated with Diagnostic Radiological Examinations Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits

Lymphangiogram, performed per side. This is a clinical procedure associated with diagnostic radiological examinations. As per the and , this service includes all common elements of insured services such as obtaining history, maintaining records, and providing the necessary premises and equipment.
Referral requiredFrom: Physician, NursePractitioner
When claiming the E420 trauma premium, the medical record must list the Injury Severity Score (ISS).
As per , all insured services must be documented in appropriate records to 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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