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X205
X205 – Lumbar or lumbosacral spine - four or five views
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A diagnostic x-ray of the lumbar or lumbosacral spine consisting of four or five views. Payment is structured with a professional fee (P) for the radiologist's interpretation and report, and a technical fee (H) covering the cost of the equipment and technical staff. The technical component is subject to specific payment rules when performed in a hospital setting. See for details.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
The physician submitting a claim for the technical component must maintain documentation describing the process for monitoring quality assurance in accordance with professional standards.
All insured services require documentation in the medical record to establish that the service was provided, was medically necessary, and matches the service claimed.
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