X057 – Skeletal survey for bone age - single film
OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A skeletal survey for bone age determination using a single film. This service is listed with a professional component ('P' fee) and a technical component ('H' fee). The technical component is only eligible for payment when rendered in a hospital. See 'Eligibility Rules' for further details.
When to Use
- Use X057 when performing a single-view hand and wrist radiograph specifically for pediatric bone age assessment.
- Select X057 instead of X058 when the clinical request is limited to a single film rather than a full skeletal survey.
Common Pitfalls
- Billing the 'H' (technical) component for services performed in a private office or clinic setting will result in automatic rejection.
- Submitting X057 for a full skeletal survey will lead to audit scrutiny; use X058 if multiple views or sites are required for a comprehensive survey.
Billing Tips
- Ensure the professional component 'P' is billed by the interpreting radiologist, while the 'H' component is only claimed if you own the equipment and operate within a hospital facility.
Effective: April 1, 2025
D. Diagnostic Radiology
DIAGNOSTIC RADIOLOGY
Diagnostic
Diagnostic Radiology
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.
The physician must have the necessary training and experience to personally render the technical component of the service.
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