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X201 – Breast biopsy specimen x-ray

OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits

X201 is for the radiological examination of a breast biopsy specimen. The fee is payable per specimen. This service is comprised of a technical component (H) and a professional component (P) which are claimed separately. See 'Payment Adjustment Rules' for billing details.
Referral requiredFrom: Physician, NursePractitioner, Midwife, OralMaxillofacialSurgeon
The Act requires that the record establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.

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