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X156
X156 – Arthrogram, tenogram or bursogram
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
Arthrogram, tenogram or bursogram, listed under Special Examinations in Diagnostic Radiology. When performed with fluoroscopy and complete positioning throughout by the physician, see X200.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
All insured services must be documented in appropriate records. The Act requires that the record establish that:
1. an insured service was provided;
2. the service for which the account is submitted is the service that was rendered; and
3. the service was medically necessary.
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