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X135 – Cystourethrogram, stress or voiding (catheter)

OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits

Cystourethrogram, stress or voiding (catheter) is a diagnostic imaging procedure of the bladder and urethra. This service has both a technical component (Fee H: $27.50) and a professional component (Fee P: $13.80). • The Technical Component (Fee H) is claimed with suffix B. It is not eligible for payment if rendered outside of a hospital. It is also not eligible for payment if the service is rendered to a hospital in-patient, or to an out-patient who is admitted to the same hospital within 24 hours for the same condition. • The Professional Component (Fee P) is claimed with suffix C.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
The physician has the necessary training and experience to personally render the technical component of the service;
The physician maintains documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards.

For those diagnostic services which have both technical and professional components listed under one fee schedule code, the technical and professional components are claimed separately. The claim for the technical component is submitted using the fee schedule code with the suffix B and the claim for the professional component is submitted using the fee schedule code with a suffix C.

The technical component may be listed as either "technical component" or in a column headed "H" or "T". The professional component may be listed as either "professional component" or in a column headed "P".

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