X182 – Selective angiogram (per vessel, to a maximum of 4)
OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
This code represents an Abdominal, thoracic, cervical or cranial angiogram by catheterization, specifically a selective angiogram (per vessel, to a maximum of 4) performed using a film changer, cine or multiformat camera. It has both technical (H) and professional (P) components. As per , for diagnostic services with both components, the technical component is claimed with suffix B and the professional component with suffix C. 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.
When to Use
- Use X182 for each individual vessel catheterized during a selective angiogram, up to a maximum of four vessels, when documenting the specific arterial supply targeted.
- Apply this code when performing selective diagnostic angiography in an outpatient setting where you are responsible for both the technical acquisition and the professional interpretation.
Common Pitfalls
- Billing X182B for the technical component when the patient is an inpatient or is admitted to the hospital within 24 hours of the procedure, as this violates the GP11 payment adjustment rules.
- Failing to submit the claim with the correct suffix (X182B for technical, X182C for professional) will result in automatic rejection or payment errors.
- Exceeding the maximum of four units per patient encounter, as the Schedule of Benefits limits the claim to four vessels regardless of the total number of vessels catheterized.
Billing Tips
- Ensure your documentation clearly identifies each vessel catheterized to justify the number of units claimed, as auditors specifically look for vessel-by-vessel mapping for selective procedures.
- If you are performing the professional interpretation only in a hospital setting, claim only the X182C component to avoid non-compliance with the technical component exclusion rules.
Effective: April 1, 2025
D. Diagnostic Radiology
DIAGNOSTIC RADIOLOGY
Diagnostic
Diagnostic Radiology
For those diagnostic services which have both technical and professional components listed under one fee schedule code, the technical and professional components are claimed separately. The claim for the technical component is submitted using the fee schedule code with the suffix B and the claim for the professional component with a suffix C.
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