All codes
X105
X105 – Palatopharyngeal analysis - cine or videotape
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
Palatopharyngeal analysis performed with cine or videotape. This is a diagnostic radiology procedure of the gastrointestinal tract. This service is comprised of two distinct components for billing purposes:
• Professional Component (P Fee): Claimed as X105C, with a fee of $36.90. This covers the physician's work in interpreting the images and providing a report.
• Technical Component (H Fee): Claimed as X105B, with a fee of $29.50. This covers the cost of equipment, supplies, and personnel for performing the scan. The technical component is subject to specific payment rules when rendered in a hospital setting (see ).
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 this upon request by the MOH.
All insured services must be documented in appropriate records to establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.