X080 – Other survey studies - single view
OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
X080 represents the professional component ('P' fee) for a single-view skeletal survey. This diagnostic imaging is typically used for investigating conditions such as rheumatoid arthritis, metabolic bone disease, or metastatic cancer. This fee covers the physician's interpretation of the radiograph. The technical component ('H' fee), which covers the facility and equipment costs for performing the X-ray, is claimed separately. For each additional film or view taken during the same study, see X081. As per , the professional and technical components of diagnostic services with separate 'H' and 'P' fees are claimed separately.
When to Use
- Use X080 when providing a formal professional interpretation for a single-view skeletal survey requested for systemic conditions like metastatic workups or metabolic bone disease.
- Use X080 as the base code for the first view, then append X081 for each subsequent view performed during the same diagnostic session.
Common Pitfalls
- Billing X080 without a valid referral from an authorized provider, as this code strictly requires a referral from a physician, nurse practitioner, or other designated professional.
- Attempting to bill the technical component ('H' fee) under the same claim as X080, which will result in rejection as they must be claimed separately per GP11.
- Confusing X080 with regional specific X-ray codes; X080 is reserved for survey studies rather than targeted anatomical exams.
Billing Tips
- Ensure your claim includes the referring provider's billing number to satisfy the mandatory referral requirement for diagnostic services.
- Always verify that the total number of views matches the combination of X080 and the quantity of X081 units to avoid audit flags for inconsistent imaging volumes.
Effective: April 1, 2025
D. Diagnostic Radiology
DIAGNOSTIC RADIOLOGY
Diagnostic
Diagnostic Radiology
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