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X112

X112Barium enema

OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits

X112 is a diagnostic radiology procedure for the examination of the colon using a barium enema. This service includes a survey film if one is taken. The service has separate professional ('P' fee) and technical ('H' fee) components. As per , the technical component is only payable when the service is rendered in a hospital setting. This procedure is eligible for after-hours procedure premiums (E409, E410, E412, E413) when rendered non-electively for intussusception, as outlined on .

When to Use

  • Use X112 for diagnostic barium enema examinations of the colon when performed in a hospital setting.
  • Use X112 specifically for non-elective procedures to treat intussusception, which allows for the application of after-hours procedure premiums like E409 or E410.

Common Pitfalls

  • Billing the technical component ('H' fee) for patients who are hospital in-patients or admitted within 24 hours of the procedure is a common cause of rejection.
  • Attempting to bill after-hours procedure premiums (E409, E410, E412, E413) for elective barium enemas will result in rejection, as these are restricted to non-elective intussusception cases.
  • Submitting X112 with multiple special visit premiums for the same encounter is prohibited; only one 'first person seen' premium is payable per visit.

Billing Tips

  • Ensure the professional ('P') and technical ('H') components are billed correctly according to the setting, noting that the 'H' fee is only payable when the service is rendered in a hospital.
  • When performing non-elective procedures for intussusception after hours, ensure the appropriate premium (E409-E413) is linked to the X112 claim to maximize the procedural fee.
Provider Fee$0.00
Surgical Assistant Fee$55.05
Non-Anaesthetist Fee$29.40

Effective: April 1, 2025

Category

D. Diagnostic Radiology

Subcategory

DIAGNOSTIC RADIOLOGY

Service Type

Diagnostic

Code Classes

Diagnostic Radiology

Referral RequiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon

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