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X190

X190Pantomography

OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits

Pantomography is a miscellaneous diagnostic radiological examination. The service is comprised of a technical component (H fee) and a professional component (P fee). As per , the technical component is generally only payable when the service is rendered in a hospital setting.

When to Use

  • Use X190 for panoramic dental radiography when performed in a hospital setting for diagnostic purposes.
  • Use this code when a patient requires a full-arch dental scan to assess trauma, pathology, or complex dental conditions as requested by an authorized practitioner.

Common Pitfalls

  • Billing the technical component (H fee) for services rendered outside of a hospital setting will result in automatic rejection.
  • Attempting to bill the technical component for an inpatient or a patient admitted within 24 hours of the service is a violation of the Schedule of Benefits.
  • Failure to obtain or document the required referral from a physician, nurse practitioner, or oral maxillofacial surgeon will lead to audit recovery.

Billing Tips

  • Ensure you are correctly splitting the claim into the professional (P) and technical (H) components to align with hospital-based billing requirements.
  • Verify that the patient's admission status is checked against the 24-hour rule before submitting the technical component to avoid non-compliance.
Provider Fee$0.00
Surgical Assistant Fee$20.20
Non-Anaesthetist Fee$6.90

Effective: April 1, 2025

Category

D. Diagnostic Radiology

Subcategory

DIAGNOSTIC RADIOLOGY

Service Type

Diagnostic

Code Classes

Diagnostic Radiology

Referral RequiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon

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