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X204B
X204B – Thoracic Spine - Three or More - Technical Component
OHIP Laboratory Code — Spine and Pelvis · Schedule of Benefits
Technical component (H fee) for a radiological examination of the thoracic spine, requiring a minimum of three views. As per , the technical component is claimed separately using suffix B. It covers the provision of the premises, equipment, supplies, and personnel for the procedure. This component is only payable when the service is rendered in a hospital.
When to Use
- Use X204B when you are the facility owner or operator providing the equipment and technical staff for a thoracic spine series of three or more views performed in a hospital setting.
- Apply this code specifically for the technical overhead of the imaging procedure, ensuring the professional interpretation is billed separately under the corresponding professional component code.
Common Pitfalls
- Billing X204B in a non-hospital setting will result in an automatic rejection, as the technical component is only eligible for payment when the service is rendered within a hospital facility.
- Failing to separate the technical component (suffix B) from the professional component (suffix A or P) will lead to claim errors or audit flags regarding improper unbundling of the service.
Billing Tips
- Ensure your claim for X204B is strictly accompanied by the professional component code to reflect the complete diagnostic service, while maintaining the required suffix B for the technical portion.
Surgical Assistant Fee$38.45
Non-Anaesthetist Fee$12.05
Effective: January 1, 2025
Category
Diagnostic Radiology
Subcategory
Spine and Pelvis
Service Type
Diagnostic
Code Classes
Diagnostic Radiology
Claimed with suffix B for the technical component.
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