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X170
X170 – Laryngogram
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A laryngogram is a 'Miscellaneous Examination' listed in the Diagnostic Radiology section of the Schedule. It is an imaging procedure used to visualize the larynx. Payment for this service is separated into a professional component (P fee of $23.00) and a technical component (H fee of $28.95).
Payment Rules:
• The technical component (H) is only eligible for payment when the service is rendered in a hospital ().
• The physician claiming the technical component must meet training, experience, and quality assurance documentation requirements as outlined on .
• The technical component is not payable for a hospital in-patient or for an out-patient who is subsequently admitted to the same hospital within 24 hours for the same condition ().
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
For the technical component, the physician must maintain documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards.
All insured services must be documented in appropriate records that establish the service was provided, is the service submitted for claim, and was medically necessary.
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