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X103 – Oesophagus, stomach and duodenum - double contrast including survey film and small bowel

OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits

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This service is a double-contrast radiological study covering the oesophagus, stomach, duodenum, and small bowel. It includes a survey film if taken. Payment is divided into a technical component (H fee) and a professional component (P fee). As per the rules on page , the technical component is generally not payable for hospital in-patients or for patients admitted to hospital within 24 hours of the service.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
The physician must maintain documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards.
X104X107X108X109

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