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X033
X033 – Orthoroentgenogram - single view
OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
Orthoroentgenogram (3 foot film) - single view. This is a diagnostic radiology service that has a professional component ('P' fee) for the physician's interpretation and a technical component ('H' fee) for the facility costs. The technical component is subject to specific payment rules depending on the location of service (e.g., in-hospital vs. out-of-hospital) and patient status (e.g., in-patient vs. out-patient). See for details.
When to Use
- Use X033 for a single-view orthoroentgenogram to assess limb length discrepancy, as opposed to X032 which covers a multi-view or more complex assessment.
- Select X033 when the clinical requirement is specifically for a long-bone measurement study of a single limb, distinguishing it from standard skeletal surveys like X025.
Common Pitfalls
- Submitting the code without the required 'C' suffix for the professional component or 'B' suffix for the technical component will result in automatic claim rejection.
- Billing X033 in conjunction with standard X-ray codes like X025 for the same anatomical region is often flagged as unbundling if the orthoroentgenogram already covers the diagnostic intent.
Billing Tips
- Ensure the referral source is clearly documented as a physician or nurse practitioner, as X033 strictly requires a valid referral to be payable.
- When billing the professional component (X033C), confirm that the interpretation report specifically addresses the limb length measurements rather than just a general skeletal assessment.
Provider Fee$0.00
Surgical Assistant Fee$24.70
Non-Anaesthetist Fee$10.15
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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