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X019
X019 – Salivary gland region
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A radiological examination of the salivary gland region. This service is a diagnostic procedure with two distinct components as listed on page : a technical component (H) and a professional component (P). As per the General Preamble on page , the technical component (H) is only insured when rendered in a hospital setting and is not payable for hospital in-patients or for out-patients who are subsequently admitted within 24 hours for the same condition. Claims for the technical component should be submitted with a 'B' suffix, and claims for the professional component with a 'C' suffix. Note: Dental x-rays of the teeth are not an insured benefit.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
All insured services must be documented in appropriate records establishing 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 ().
From : For diagnostic services which have both technical and professional components listed under one fee schedule code, the technical and professional components are claimed separately. The claim for the technical component is submitted using the fee schedule code with the suffix B and the claim for the professional component is submitted using the fee schedule code with a suffix C.
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