X065 – Knee including patella - two views
OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A diagnostic radiology service involving two radiographic views of the knee, including the patella. This service has both a technical component (H fee) and a professional component (P fee). See the Diagnostic Radiology section starting on for fee amounts.
When to Use
- Use X065 when a standard two-view knee series (typically AP and lateral) is performed to assess for injury or pathology.
- Choose X065 over X224 or X225 when the diagnostic requirement is limited to two views, as X224 and X225 are mutually exclusive for the same knee on the same day.
Common Pitfalls
- Billing X065 in combination with X224 or X225 for the same knee on the same date will result in an automatic rejection.
- Failure to split the claim into the technical component (suffix B) and the professional component (suffix C) as required for diagnostic radiology services.
Billing Tips
- Ensure the technical component (suffix B) claim includes documentation of your quality assurance processes, as this is a mandatory requirement for the physician submitting the technical fee.
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 quality assurance processes 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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