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X161
X161 – Carotid angiogram - bilateral
OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
Performs a bilateral carotid angiogram by direct puncture. This is a diagnostic radiology procedure. General rules for diagnostic radiology procedures from the Schedule of Benefits General Preamble apply.
When to Use
- Use X161 when performing a formal bilateral carotid angiogram via direct percutaneous puncture for diagnostic imaging purposes.
- Select this code specifically when the procedure involves both sides, as it is a distinct bilateral service code rather than a unilateral procedure billed twice.
Common Pitfalls
- Billing X161 in conjunction with other selective catheterization codes for the same vascular territory, which may trigger a duplicate service rejection or audit for unbundling.
- Failing to recognize that X161 is a diagnostic radiology procedure; billing it as a surgical procedure code can lead to incorrect premium eligibility or payment denials.
Billing Tips
- Ensure that after-hours premiums E409 or E410 are applied only when the procedure meets the strict 'non-elective' or 'delayed emergency' criteria defined in the General Preamble.
- Verify that the procedure is performed by direct puncture; if the approach is via femoral access or other selective catheterization techniques, ensure you are not miscoding a more complex interventional procedure as X161.
Provider Fee$0.00
Surgical Assistant Fee$89.40
Non-Anaesthetist Fee$69.65
Effective: April 1, 2025
Category
D. Diagnostic Radiology
Subcategory
DIAGNOSTIC RADIOLOGY
Service Type
Diagnostic Radiology
Code Classes
Respiratory Surgical Procedures
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