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X167
X167 – Fistula or sinus
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A diagnostic radiology examination for a fistula or sinus tract. This service is comprised of a professional component ('P') for the physician's interpretation, and a technical component ('H') for the facility's costs. The technical component ('H') fee is intended for services rendered in an Independent Health Facility (IHF). When the service is rendered in a hospital, the technical component is funded through the hospital's budget and is not payable as a fee-for-service claim. The professional component ('P') is payable to the physician who interprets the examination. As per , the technical component ('H') is not eligible for payment if the service is rendered to a hospital in-patient, or to an out-patient who is admitted to hospital within 24 hours for the same condition for which the service was rendered.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
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