All codes
X172
X172 – Mammogram - No signs or symptoms - unilateral
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A unilateral mammogram performed using dedicated equipment. This service is indicated when the sole reason for the request for a mammogram is for an individual with identified risk factors in accordance with clinical practice guidelines, and who has no signs or symptoms of breast disease. This service has a technical component (H) and a professional component (P). The claim for the technical component is submitted using the fee schedule code with suffix B (X172B) and the claim for the professional component is submitted using the fee schedule code with a suffix C (X172C), as per .
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
The physician submitting a claim for the technical component is responsible for the complete quality assurance process for all elements of the technical component of the service, including data acquisition, reporting, and record keeping. The physician must be able to demonstrate the above upon request by the MOH.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.