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X092 – Chest - three or more views

OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits

A diagnostic radiology service for a chest X-ray involving three or more views. The service is divided into a technical component (H) and a professional component (P). The technical component covers the cost of the facility, equipment, and staff performing the imaging, while the professional component covers the physician's interpretation of the images. Per the Schedule, the H fee is $28.15 and the P fee is $12.40. Miniature chest films for survey purposes are not an insured benefit.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
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 the above upon request by the MOH.
The physician must maintain documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards.

Miniature chest film for survey purposes only is not an insured benefit.

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