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X206
X206 – Lumbar or lumbosacral spine - six or more views
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A radiological examination of the lumbar or lumbosacral spine, consisting of six or more views. This service is listed with separate fees for the technical component (H) and the professional component (P). The professional component involves the physician's interpretation of the images. Payment for the technical component is subject to specific rules based on the location of service (e.g., hospital vs. out-of-hospital). Per (), the technical component is claimed with suffix B, and the professional component with suffix C.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
This service is for six or more views.
The technical component ('H' fee) and professional component ('P' fee) are claimed separately. The H fee is for the facility/technical aspect, and the P fee is for the physician's interpretation.
The technical component ('H' fee) is not eligible for payment if rendered to a hospital in-patient, or to a patient who is admitted to the same hospital within 24 hours of the service for the same condition. See () for details.
The technical component ('H' fee) for this service is not eligible for payment if rendered outside of a hospital.
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