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X011
X011 – Internal auditory meati
OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A diagnostic radiology procedure involving X-ray imaging of the internal auditory meati. This service is performed when a skull examination is not required. The fee is divided into a technical component (H) payable at $21.70 and a professional component (P) payable at $10.35.
When to Use
- Use X011 specifically for targeted imaging of the internal auditory meati when a full skull series is not clinically indicated or requested.
- Select this code when investigating unilateral sensorineural hearing loss or suspected acoustic neuroma where focused meati views are the primary diagnostic requirement.
Common Pitfalls
- Billing X011 in conjunction with a general skull X-ray code is a common audit trigger for unbundling; ensure the clinical necessity for the specific meati view is distinct.
- Attempting to bill this for dental-related imaging will result in rejection, as dental X-rays are not an insured benefit under OHIP.
Billing Tips
- Ensure the referral explicitly requests imaging of the internal auditory meati to support the use of this specific code over more general diagnostic radiology codes.
- When providing urgent, non-elective interpretations in a hospital setting, ensure you select the appropriate C-series special visit premium (e.g., C108, C109, or C110) based on the time of day and day of the week to maximize the professional component.
Provider Fee$0.00
Surgical Assistant Fee$24.70
Non-Anaesthetist Fee$10.35
Effective: April 1, 2025
Category
D. Diagnostic Radiology
Subcategory
DIAGNOSTIC RADIOLOGY
Service Type
Diagnostic
Code Classes
Diagnostic Radiology
Referral RequiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
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