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X174

X174Peripheral angiogram - unilateral

OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits

Peripheral angiogram - unilateral

When to Use

  • Use X174 for a unilateral peripheral angiogram when the procedure is performed as a standalone diagnostic radiological examination.
  • Use X174 when the clinical documentation confirms the procedure was restricted to a single limb, distinguishing it from the bilateral X175.

Common Pitfalls

  • Billing X174 and X175 together for the same patient on the same day is a common rejection; ensure the laterality is clearly documented to support the specific code used.
  • Attempting to bill X174 for procedures performed via PACS or remote interpretation, as this code requires the physical performance of the clinical procedure.

Billing Tips

  • Ensure the referral source is documented as a physician, nurse practitioner, or oral maxillofacial surgeon, as X174 requires a formal referral per GP111.
  • If performing this procedure in an emergency or after-hours setting, verify eligibility for E409, E410, or the appropriate C-series travel premiums to maximize the procedural fee.
Provider Fee$0.00
Surgical Assistant Fee$33.90
Anaesthetist Fee$15.50
Non-Anaesthetist Fee$15.50

Effective: April 1, 2025

Category

D. Diagnostic Radiology

Subcategory

DIAGNOSTIC RADIOLOGY

Service Type

Procedure

Code Classes

Diagnostic Radiology, Clinical Procedures associated with Diagnostic Radiological Examinations

Referral RequiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon

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