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X039
X039 – Ribs - two or more views
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A diagnostic radiology procedure for the ribs consisting of two or more views. This service is divided into two components: a professional component (fee 'P') for the interpretation and a technical component (fee 'H') for performing the x-ray. According to the Schedule (, ), claims for the professional component should be submitted with suffix 'C' (X039C), and claims for the technical component with suffix 'B' (X039B). The technical component is generally only payable when performed in a hospital setting and is subject to specific payment rules for in-patients and out-patients who are subsequently admitted (, ).
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon, Midwife
All insured services must be documented in appropriate records that establish: 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.
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