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X180
X180 – Selective angiogram (per vessel, to a maximum of 4)
OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
Selective angiogram (per vessel, to a maximum of 4)
When to Use
- Use X180 when performing a selective catheterization and injection of a specific vessel, such as a branch of the carotid or renal artery, distinct from the initial diagnostic study.
- Apply this code when multiple distinct vascular beds are imaged during the same session, up to the maximum of four vessels.
- Select X180 for secondary selective vessel studies when the primary diagnostic imaging is covered under a different procedural code like X179.
Common Pitfalls
- Billing more than four units of X180 in a single session will trigger an automatic rejection, as the Schedule of Benefits strictly caps this procedure at four vessels.
- Attempting to bill X180 in conjunction with non-selective angiography codes without clear documentation of the selective catheterization effort often leads to audit recovery.
- Failing to distinguish between the primary diagnostic study and the selective vessel study can lead to duplicate billing errors when X180 is used alongside X140.
Billing Tips
- Ensure the procedural report explicitly documents the selective catheterization of each individual vessel to justify each unit of X180 billed.
- When performing complex interventions, verify if the service is inclusive of the selective angiogram; if the intervention code includes imaging, X180 cannot be billed separately.
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