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X040
X040 – Sternum - two or more views
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A diagnostic radiology service for two or more views of the sternum. The fee is comprised of a technical component (H-fee) and a professional component (P-fee). The P-fee covers the physician's interpretation of the images and the report. The H-fee covers the cost of the facility, equipment, and staff to perform the imaging. This service must be documented in the patient's medical record. As per and , this service includes all common elements such as reviewing patient history, obtaining consents, and maintaining records. Payment for the technical component is subject to specific rules, particularly regarding the service location (e.g., not payable outside a hospital or for in-patients, see ).
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
The physician submitting a claim for the technical component is responsible for the complete quality assurance process for all elements of the technical component of the service, including data acquisition, reporting, and record keeping.
The physician must be able to demonstrate upon request by the MOH that they have the necessary training and experience to personally render the technical component and maintain documentation describing the process by which the physician monitors quality assurance in accordance with professional standards.
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