X060 – Hip (unilateral) - two or more views
OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A diagnostic radiology procedure for a unilateral hip, involving two or more views. This service is comprised of a professional component (P) for the interpretation and report, and a technical component (H) which covers the equipment, supplies, and personnel for the procedure itself. Billing for these components is subject to specific rules, particularly regarding the service location for the technical component as detailed in the Schedule of Benefits. See and .
When to Use
- Use X060 for standard diagnostic hip imaging when at least two distinct radiographic views (e.g., AP and lateral) are performed on a single hip.
- Use this code for follow-up imaging of a unilateral hip pathology where the clinical requirement necessitates a multi-view assessment rather than a single-view screening.
Common Pitfalls
- Billing X060 for both hips on the same day is prohibited; use the appropriate bilateral code or document medical necessity for separate unilateral claims if permitted by specific policy.
- Failing to append the correct suffix (B for technical, C for professional) will result in automatic rejection, as the system requires the split-component billing structure.
- Submitting X060 for a single-view hip study is an audit risk; ensure the documentation explicitly confirms the two-view requirement was met.
Billing Tips
- Always verify the facility's status regarding the technical component (H) to ensure you are only billing the professional component (C) if the facility owns the equipment.
- When billing for urgent, non-elective hospital interpretations, ensure you pair the professional component (X060C) with the correct special visit premium (e.g., C104 or C110) to capture the full value of the service.
Effective: April 1, 2025
D. Diagnostic Radiology
DIAGNOSTIC RADIOLOGY
Diagnostic
Diagnostic Radiology
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