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X123
X123 – Operative pancreatogram or ERCP
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
An operative pancreatogram or Endoscopic Retrograde Cholangiopancreatography (ERCP).
This diagnostic radiology service is comprised of two components with separate fees as listed in the Schedule:
• Technical Component (H Fee): For the use of the facility, equipment, supplies, and personnel.
• Professional Component (P Fee): For the physician's service of performing and/or interpreting the procedure and providing a report.
Payment for the technical component is subject to specific rules outlined in the Schedule of Benefits (see :). Specifically, the technical component is not payable when the service is provided to a hospital in-patient, or if the patient is admitted to the hospital within 24 hours of the service for the same condition. The technical component is also not payable when rendered outside of a hospital setting.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
For the technical component, the physician must maintain documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards.
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