X112 – Barium 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.
Effective: April 1, 2025
D. Diagnostic Radiology
DIAGNOSTIC RADIOLOGY
Diagnostic
Diagnostic Radiology
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