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X141 – Cavernosography

OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits

Cavernosography is a diagnostic imaging procedure of the genitourinary tract. This service is split into a technical component and a professional component, each claimed separately. • The Technical Component (H-fee) is for the performance of the imaging itself. As per , the claim is submitted using the fee schedule code with suffix B (e.g., X141B). • The Professional Component (P-fee) is for the physician's interpretation of the images. As per , the claim is submitted using the fee schedule code with suffix C (e.g., X141C). As per , the technical component is not eligible for payment if rendered to a hospital in-patient, or to a patient who attends a hospital for the diagnostic service and is admitted to the same hospital within 24 hours for the same condition.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
As per , all insured services must be documented in the medical record to establish that an insured service was provided, the service for which the account is submitted is the service that was rendered, and the service was medically necessary.
Sex

Male

This service has a technical component (Fee H: $20.65) and a professional component (Fee P: $8.30).

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