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X046
X046 – Acromioclavicular joints (bilateral) - two views
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
Provides for a bilateral X-ray examination of the acromioclavicular joints, with two views taken. The procedure may be performed with or without weighted distraction. This service has both a professional and a technical component, which are billed separately. The technical component (H-fee) is for the performance of the imaging and is claimed with suffix B. The professional component (P-fee) is for the interpretation of the images and is claimed with suffix C. See for details on billing technical and professional components.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
All insured services must be documented in appropriate records establishing that the service was provided, medically necessary, and is the service submitted for payment as per .
For the technical component, the physician must maintain documentation describing the process for monitoring quality assurance in accordance with professional standards, as outlined on .
This service has separate technical (H-fee) and professional (P-fee) components. The technical fee is $21.70 and the professional fee is $10.35. The technical component claim is submitted with suffix B and the professional component claim with suffix C.
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