X140 – Selective angiogram (5 or more vessels)
OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
The specific details, indications, and elements of procedure X140 are not described in the provided context. As a listed service, it includes all common elements as described in the General Preamble (, ). The presence of an assistant fee suggests it is a procedural service where assistance may be required, subject to the rules in the 'Surgical Assistants' Services' section of the General Preamble ().
When to Use
- Use X140 when performing a selective angiographic study that involves the catheterization and imaging of 5 or more distinct vascular territories or vessels.
- Use this code for complex diagnostic vascular mapping where the procedural intensity exceeds the scope of lower-tier angiographic codes.
Common Pitfalls
- Billing X140 for studies involving fewer than 5 vessels, which will trigger a rejection or audit recovery for incorrect code selection.
- Failing to document the specific vessels catheterized, as the claim must clearly support the '5 or more' requirement to withstand a post-payment review.
Billing Tips
- Ensure the procedural report explicitly lists each of the 5+ vessels to justify the use of X140 over less intensive diagnostic codes.
- If an assistant is utilized for this procedure, ensure the assistant's claim is linked to the primary X140 service to correctly trigger the surgical assistant fee eligibility.
Effective: April 1, 2025
D. Diagnostic Radiology
DIAGNOSTIC RADIOLOGY
Procedure
Diagnostic and Therapeutic Procedures, Surgical Assistants' Services
All insured services must be documented in appropriate records that establish an insured service was provided, the service claimed is the service rendered, and the service was medically necessary as per the Health Insurance Act ().
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