X081 – Each additional film or view
OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
Represents each additional film or view taken as part of a skeletal survey study, for example, for rheumatoid, metabolic, or metastatic conditions. This service is intended to be billed in addition to an initial single-view study code such as X080. As a diagnostic radiology service, it has both a technical component (H) and a professional component (P) which are billed separately.
When to Use
- Use X081 for each additional view beyond the initial single-view study (e.g., X080) required to complete a skeletal survey for metastatic or metabolic disease.
- Apply this code when documenting supplementary projections necessary to clarify findings identified on the primary survey view.
Common Pitfalls
- Billing X081 as a standalone service without an associated initial survey code like X080 will result in automatic rejection.
- Failing to separate the technical (H) and professional (P) components in your submission will lead to payment discrepancies or audit flags.
- Claiming the technical component (H) for hospital in-patients or patients admitted within 24 hours of the service is a violation of OHIP payment rules.
Billing Tips
- Ensure the total number of units billed for X081 strictly matches the number of additional views documented in the radiology report.
- Always verify that the referral source is an authorized provider (Physician, NP, or Oral Maxillofacial Surgeon) to avoid retroactive recovery.
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 this upon request by the MOH.
The physician must have the necessary training and experience to personally render the technical component of the service.
All insured services must be documented in appropriate records that establish the service was provided, the service claimed is the service rendered, and the service was medically necessary.
This code falls under the category of 'Other survey studies - e.g. rheumatoid, metabolic or metastatic'.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.