X032 – Entire spine (scoliosis series) - four views
OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A diagnostic radiology procedure for the entire spine, commonly known as a scoliosis series, which includes four radiographic views. The service is comprised of a technical component (Fee H) for the use of equipment and personnel, and a professional component (Fee P) for the physician's interpretation.
When to Use
- Use X032 when specifically ordering a four-view scoliosis series to assess spinal curvature, rather than individual regional spine series like X025 or X027.
- Select X032 for the initial diagnostic workup of adolescent idiopathic scoliosis where a full-length spine assessment is required.
Common Pitfalls
- Billing X032 in conjunction with individual regional spine codes (e.g., X025, X028) is considered unbundling and will lead to claim rejection.
- Failing to account for the technical component (H-fee) exclusion when the patient is a hospital in-patient or admitted within 24 hours of the service.
Billing Tips
- Ensure the requisition explicitly specifies a 'four-view scoliosis series' to justify the use of X032 over multiple regional codes.
- Always verify if the patient meets the criteria for age-based premiums, as X032 is frequently utilized in pediatric populations eligible for these percentage increases.
Effective: April 1, 2025
D. Diagnostic Radiology
DIAGNOSTIC RADIOLOGY
Diagnostic
Diagnostic Radiology
This service has two fee components: a technical component (H) and a professional component (P). The H-fee is for the facility/equipment and the P-fee is for the physician's professional interpretation.
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