All codes
X185
X185 – Mammogram - Signs or symptoms - bilateral
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
Bilateral mammogram performed with dedicated equipment. This service is intended for diagnostic purposes for individuals who present with signs or symptoms of breast disease, or for the follow-up of previously established disease. This service has both a technical component (H) and a professional component (P). The professional component fee is paid to the physician. As per the commentary on page of the Schedule, this is for: 'individuals with identified signs or symptoms or follow-up of established disease.'
Referral requiredFrom: Physician, NursePractitioner, Midwife, OralMaxillofacialSurgeon
The medical record must document the specific signs, symptoms, or established disease that necessitates the mammogram.
As per , all insured services must be documented in the medical record to establish that the service was provided, was medically necessary, and is the service for which the account is submitted.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.