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X056
X056 – Finger or thumb - two views
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
Radiological examination of a finger or thumb involving two views, as listed on page . This service is comprised of two distinct components:
• Technical Component: The physical act of taking the X-ray. This component's payment is subject to location-based rules (see ).
• Professional Component: The interpretation of the X-ray by a physician. The professional component includes all common and constituent elements of an insured service as outlined in the General Preamble (, ).
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon, 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 the above upon request by the MOH.
All insured services must be documented in appropriate records to 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.
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