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X136
X136 – Vasogram
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A vasogram is a diagnostic radiology procedure listed under the Genitourinary Tract section. The service is comprised of two components which are claimed separately:
• A technical component (
Fee (H)), claimed with suffix B.
• A professional component (Fee (P)), claimed with suffix C.
This billing structure is detailed in the General Preamble (:). The technical component (H) is only eligible for payment when the service is rendered in a hospital setting and is not payable if rendered outside of a hospital (:).Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
All insured services must be documented in appropriate records to 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.
(Source: :)
Sex
Male
This service has a technical component (Fee (H): $17.95) and a professional component (Fee (P): $6.80). Claims for the technical component are submitted with suffix B, and for the professional component with suffix C (:).
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