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X202
X202 – Cervical spine - four or five views
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A diagnostic radiology procedure for the cervical spine consisting of four or five views. This service is comprised of two distinct components as defined in and :
• A technical component (H fee) for the performance of the imaging.
• A professional component (P fee) for the physician's interpretation and report.
Payment rules from state:
• The technical component is not eligible for payment if the service is rendered to a hospital in-patient.
• The technical component is not eligible for payment if the patient attends a hospital for the service and is admitted to the same hospital within 24 hours for the same condition.
• The technical component is not eligible for payment if rendered outside of a hospital.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
All insured services must be documented in appropriate records. 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.
The fee for this service applies to a study of the cervical spine with four or five views.
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