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X200
X200 – Arthrogram, tenogram or bursogram with fluoroscopy and complete positioning throughout by physician
OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
Arthrogram, tenogram or bursogram with fluoroscopy and complete positioning throughout by physician
When to Use
- Use X200 when you personally perform the fluoroscopic guidance and manual joint manipulation for an arthrogram, rather than delegating positioning to a technologist.
- Select X200 for tenograms or bursograms where the procedure requires continuous physician-directed imaging and positioning, distinguishing it from simple diagnostic X-rays like X156.
Common Pitfalls
- Billing X200 in conjunction with X156 is often rejected as the latter is considered a component of the comprehensive procedure code.
- Submitting X200 without explicit documentation of the physician's active role in the fluoroscopic positioning will trigger an audit for unbundling or inappropriate service claims.
Billing Tips
- Ensure the operative report explicitly states 'physician performed complete positioning' to justify the use of X200 over standard diagnostic imaging codes.
Provider Fee$0.00
Surgical Assistant Fee$41.70
Non-Anaesthetist Fee$45.55
Effective: April 1, 2025
Category
D. Diagnostic Radiology
Subcategory
DIAGNOSTIC RADIOLOGY
Service Type
Procedure
Code Classes
Diagnostic and Therapeutic Procedures
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