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X126

X126CT Abdomen - with and without IV contrast

OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits

A Computed Tomography (CT) scan of the abdomen that includes an initial acquisition of images without intravenous (IV) contrast, followed by a second acquisition of images after the administration of IV contrast material. This dual-phase technique is used to enhance the visualization of blood vessels, organs, and other structures.

When to Use

  • Use X126 when a clinical protocol requires both non-contrast and contrast-enhanced phases to differentiate between vascular and non-vascular abdominal structures, such as in the evaluation of suspected renal calculi or adrenal masses.
  • Select X126 over single-phase codes when the diagnostic objective is to characterize lesion enhancement patterns, which cannot be achieved with a single acquisition.

Common Pitfalls

  • Attempting to bill X126 concurrently with X234 (CT colonography) will result in a rejection, as these are mutually exclusive procedures.
  • Failing to document the medical necessity for the dual-phase acquisition (both with and without contrast) is a common audit risk, as payers may question why a single-phase scan was insufficient.

Billing Tips

  • Ensure that if you are interpreting the study via PACS from an off-site location, you bill the appropriate E-series premium (E406, E407, or E408) rather than attempting to add a travel premium, provided all criteria for urgent management are met.
Provider Fee$0.00
Non-Anaesthetist Fee$108.30

Effective: April 1, 2025

Category

D. Diagnostic Radiology

Subcategory

DIAGNOSTIC RADIOLOGY

Service Type

Diagnostic

Code Classes

Diagnostic Radiology

Referral RequiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon

All insured services must be documented in appropriate records. The medical record must establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.

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