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X054
X054 – Hand - two or three views
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A diagnostic radiology examination of the hand, including two or three views. This service has both a professional and a technical component.
• The claim for the professional component is submitted using the fee schedule code with suffix 'C'.
• The claim for the technical component is submitted using the fee schedule code with suffix 'B'.
For a study with four or more views, see X219. For rules regarding professional and technical components, refer to .
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
The Act requires that the record establish that:
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.
This service is for two or three views.
The professional component fee is $14.90. The technical component fee is $6.40.
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