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X203 – Cervical spine - six or more views

OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits

A diagnostic radiology examination of the cervical spine which includes six or more views. This service is comprised of two distinct, separately payable components as listed on page : 1. Technical Component (`H` fee): Covers the use of equipment, supplies, and technical staff to perform the imaging. This component is only payable for services rendered in an eligible facility, typically a hospital, and is not payable for hospital in-patients (see ). 2. Professional Component (`P` fee): Covers the physician's interpretation of the images and the written report of the findings, opinions, and recommendations.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
The physician submitting a claim for the technical component is responsible for the complete quality assurance process for all elements of the technical component of the service, including data acquisition, reporting, and record keeping. The physician must be able to demonstrate the above upon request by the MOH.

This service has a separate technical component (Fee 'H') and a professional component (Fee 'P'). Per page , the fees are: H: $40.35, P: $13.25. The 'H' component fee is payable to the facility providing the service, while the 'P' component fee is payable to the physician for the interpretation and report.

Claims for the professional component are submitted with a 'P' suffix (or equivalent electronic indicator), and claims for the technical component with an 'H' suffix (or equivalent electronic indicator).

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