X052

X052 – Forearm including one joint - two views

OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits

This service provides for a two-view X-ray of the forearm, including one joint. The fee listed in the Schedule of Benefits encompasses both the professional component and the technical component. The technical component is not eligible for payment to the physician if rendered in a hospital or if the patient is admitted within 24 hours of the service for the same condition (see ). For a radiological examination of the forearm with three or more views, see billing code X217.

When to Use

Use X052 when ordering or performing exactly two views of the forearm that include either the wrist or the elbow joint.
Select X052 for standard trauma imaging where only two projections are clinically necessary to rule out fracture or dislocation.
Use X052 instead of X217 when the clinical request does not mandate a three-view series, as X217 is reserved for more extensive imaging.

Common Pitfalls

Billing the full global fee (professional plus technical) when the service is performed in a hospital or Independent Health Facility, which triggers an automatic rejection or recovery.
Upcoding to X217 when only two views were actually performed, which constitutes a billing error if the third view is not present in the radiological record.
Failing to account for the professional-only component when the technical component is provided by the facility, leading to over-billing.

Billing Tips

Ensure the claim reflects only the professional component ($6.40) when the X-ray is performed in a hospital setting to avoid technical component clawbacks.
Verify the number of views in the final report before submission to ensure the choice between X052 and X217 is supported by the actual image count.

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Provider Fee$0.00

Surgical Assistant Fee$16.95

Non-Anaesthetist Fee$6.40

Effective: April 1, 2025

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