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X028
X028 – Lumbar or lumbosacral spine - two or three views
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A diagnostic radiology service for two or three views of the lumbar or lumbosacral spine. This service has two components:
• Technical Component (H fee): Covers the performance of the X-ray. It is only payable when the service is rendered in a hospital setting and is subject to specific admission-related payment rules outlined on .
• Professional Component (P fee): Covers the physician's interpretation of the images and the resulting report.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
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.
For the technical component, the physician must maintain documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards.
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