What is OHIP billing code X191C?

X191C is "Intestinal Conduit Examination or Nephrostogram - Professional Component", an OHIP Laboratory code from the Ontario Schedule of Benefits (Physician Services).

How do I bill X191C to OHIP?

X191C is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates X191C claims against the Schedule of Benefits rules before submission.

What codes are related to X191C?

Codes related to X191C in the Schedule of Benefits include X191B.

All codes

X191C

X191C – Intestinal Conduit Examination or Nephrostogram - Professional Component

OHIP Laboratory Code — Genitourinary Tract · Schedule of Benefits

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This code represents the professional component ('P' fee) of an intestinal conduit examination or nephrostogram. This service involves the interpretation of the radiological images and the provision of a written report of the findings to the referring practitioner.

When to Use

Use X191C when providing the professional interpretation and written report for a nephrostogram performed to evaluate renal collecting system patency.
Use this code for the professional component of an intestinal conduit study (ileal conduitogram) to assess for leaks or obstructions in the urinary diversion.
Select X191C specifically for the physician's radiological interpretation, distinguishing it from the technical component (X191B) which covers the facility/equipment costs.

Common Pitfalls

Billing X191C for services performed via PACS will result in rejection if attempting to claim associated non-elective diagnostic premiums like C102 or C103.
Confusing X191C with X191B; ensure you are only billing the professional component if you are the interpreting physician and not the facility owner.
Failing to ensure a valid written referral from a physician or nurse practitioner is present, as this is a mandatory requirement for diagnostic radiology codes.

Billing Tips

If you are called into the hospital for an urgent, non-elective nephrostogram outside of regular hours, ensure you append the appropriate Special Visit Premium (e.g., C102, C103, C104) only if the service is provided in-person and not via PACS.
Always verify that the report is formally signed and dated, as the professional fee is contingent upon the provision of a written radiological report to the referring practitioner.

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Surgical Assistant Fee$27.90

Non-Anaesthetist Fee$10.15

Effective: January 1, 2025

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