X090 – Chest - single view
OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A diagnostic radiology service for a single view of the chest. The fee is split into a technical component (H) and a professional component (P). The technical component is only payable when the service is rendered in a hospital. See () for general rules on billing technical and professional components of diagnostic services.
When to Use
- Use X090 when a single-view chest X-ray is clinically indicated, such as for a quick check of line placement or a follow-up on a specific localized finding.
- Choose X090 instead of X091 when only one projection is performed, as X091 is strictly reserved for two-view (PA and lateral) chest examinations.
Common Pitfalls
- Billing X090 in combination with X091 for the same patient on the same day is a common rejection trigger, as the Ministry considers this an unbundling of services.
- Attempting to bill the technical component (H) for a service performed in an office setting will result in automatic rejection, as the technical component is only payable for hospital-based services.
Billing Tips
- Ensure the requisition clearly specifies 'single view' to avoid audit discrepancies between the billed X090 and the actual radiological report.
Effective: April 1, 2025
D. Diagnostic Radiology
DIAGNOSTIC RADIOLOGY
Diagnostic
Diagnostic Radiology
All insured services must be documented in appropriate records. The Act requires that the record establish that: - an insured service was provided; - the service for which the account is submitted is the service that was rendered; and - the service was medically necessary.
Miniature chest film for survey purposes only is not an insured benefit.
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