X114 – Gallbladder - one or multiple day examinations
OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A diagnostic radiology service for one or multiple day examinations of the gallbladder. This service is listed with separate fees for the professional component (Fee P) and the technical component (Fee H) as per page of the Schedule. The technical component is subject to specific payment rules outlined in the General Preamble on page .
When to Use
- Use X114 for diagnostic gallbladder examinations that require multiple days to complete, such as specific oral cholecystography protocols.
- Use this code when the examination protocol is explicitly defined as a multi-day diagnostic series, distinguishing it from single-view or single-session imaging codes like X120.
Common Pitfalls
- Billing X114 for a single-day ultrasound or standard imaging study, which may be subject to audit as these typically fall under different diagnostic radiology codes.
- Failing to distinguish between the professional (P) and technical (H) components when submitting claims, as both must be accurately identified to ensure correct payment processing.
Billing Tips
- Ensure the technical component (H fee) is billed at 100% as it is exempt from the 86.10% reduction applied to many other hospital-based diagnostic services per GP11.
- Verify that the medical record explicitly supports the multi-day nature of the examination to justify the use of X114 over standard single-session diagnostic codes.
Effective: April 1, 2025
D. Diagnostic Radiology
DIAGNOSTIC RADIOLOGY
Diagnostic
Diagnostic Radiology
The physician submitting a claim for the technical component is responsible for the complete quality assurance process and must maintain documentation describing this process in accordance with professional standards.
The medical record must contain all information required to establish that an insured service was provided, is the service for which the account is submitted, and was medically necessary.
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