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X138
X138 – Percutaneous antegrade pyelogram
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
Percutaneous antegrade pyelogram is a diagnostic imaging procedure of the genitourinary tract. This service is itemized with two components: a technical fee (H) of $21.70 and a professional fee (P) of $9.00 for the interpretation.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
All insured services must be documented in appropriate records that establish the service was provided, is the service for which the account is submitted, and was medically necessary.
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