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X147 – Hysterosalpingogram

OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits

Hysterosalpingogram is a diagnostic imaging procedure used to examine the uterine cavity and fallopian tubes. As per the Schedule of Benefits, this service is compensated with a split fee: a technical component (H-fee) for the facility, equipment, and technical staff, and a professional component (P-fee) for the physician's interpretation and report. Specific payment rules from the General Preamble apply, particularly regarding the eligibility of the technical component when rendered in a hospital setting (). The professional component is for the physician's service of interpretation.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
All insured services must be documented in appropriate records that establish an insured service was provided, the service claimed is the service that was rendered, and the service was medically necessary.
Sex

Female

The fee for this service is split into a technical component (H: $29.80) and a professional component (P: $11.35).

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