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X064 – Leg length studies (orthoroentgenogram)

OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits

Leg length studies (orthoroentgenogram) is a diagnostic radiology service. The Schedule lists separate fees for the technical component (X064B, H-fee: $21.70) and the professional component (X064C, P-fee: $10.35). The technical component is for the performance of the X-ray, while the professional component is for the physician's interpretation. The technical component (H-fee) is subject to specific payment rules, including not being payable for hospital in-patients or for services rendered outside of a hospital setting ().
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
The physician claiming the technical component must maintain documentation describing the quality assurance process in accordance with professional standards ().
All insured services must be documented in the medical record to establish that an insured service was provided, the service claimed is the service that was rendered, and the service was medically necessary ().

The professional component (P) fee for interpretation is $10.35.

The technical component (H) fee for performing the X-ray is $21.70.

Claims for the technical component (X064B) and professional component (X064C) should be submitted with suffixes 'B' and 'C' respectively ().

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