X108 – Oesophagus, stomach and duodenum - including survey film
OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A diagnostic radiology procedure for the oesophagus, stomach and duodenum, including survey film, if taken. This service has both a professional component (P-fee), claimed as X108C, and a technical component (H-fee), claimed as X108B. The technical component is not payable when rendered outside of a hospital. The professional component is for the physician's interpretation of the images. Per , when a service has both technical and professional components, they are claimed separately using suffix 'B' for the technical component and suffix 'C' for the professional component.
When to Use
- Use X108 for comprehensive upper gastrointestinal series involving the oesophagus, stomach, and duodenum, including the required survey film.
- Use X108 instead of X107 when the examination extends beyond the oesophagus to include the stomach and duodenum.
Common Pitfalls
- Claiming the technical component (X108B) for services performed in a private clinic or outside of a hospital setting, which is strictly prohibited.
- Attempting to bill X107 and X108 for the same patient encounter, as X107 is restricted when X108 is claimed.
Billing Tips
- Ensure you split the claim into X108B for the technical component and X108C for the professional interpretation to ensure correct payment processing.
- Verify that the referral source is a physician, nurse practitioner, or oral maxillofacial surgeon, as per GP111, to avoid rejection.
Effective: April 1, 2025
D. Diagnostic Radiology
DIAGNOSTIC RADIOLOGY
Diagnostic
Diagnostic Radiology
The medical record must 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.
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