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X055 – Wrist and hand - two or three views

OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits

X055 is for a radiological examination of the wrist and hand which includes two or three views. This service has both a technical and professional component. For an examination with four or more views, see X220.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
The medical record must establish that: • an insured service was provided; • the service for which the account is submitted is the service that was rendered; and • the service was medically necessary.
For the technical component, the physician must maintain documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards. The physician submitting the 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.

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