X151 – Cordotomy, percutaneous
OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
Percutaneous cordotomy is a procedure, often for pain management, performed under radiological guidance. It is listed in the Diagnostic Radiology section and has both a technical component (H-fee) and a professional component (P-fee) (:372). As a diagnostic service with both technical and professional components, the technical component is claimed with suffix B and the professional component with suffix C (:25). Suffix A is for the physician performing the procedure (:24). See payment adjustment rules for information on how to claim technical and professional components separately.
When to Use
- Use X151 for percutaneous cordotomy procedures performed under radiological guidance for intractable pain management.
- Use this code when the procedure is performed in a diagnostic radiology setting where both technical and professional components must be unbundled.
Common Pitfalls
- Do not use suffix A for the procedure; you must split the claim into X151B for the technical component and X151C for the professional component.
- Failure to document the radiological guidance component can lead to audit rejections, as this code is specifically categorized under Diagnostic Radiology.
Billing Tips
- Ensure the technical (B) and professional (C) components are submitted as separate line items on the same claim to comply with diagnostic radiology billing rules.
- Verify that any applicable age-based premiums are applied to the clinical procedure fee, as these are specifically permitted for diagnostic radiological examinations.
Effective: April 1, 2025
D. Diagnostic Radiology
DIAGNOSTIC RADIOLOGY
Procedure
Diagnostic Radiology, Neurological Surgical Procedures
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