What is OHIP billing code X209?

X209 is "Clavicle - three or more views", an OHIP Laboratory code from the Ontario Schedule of Benefits (Physician Services).

How much does X209 pay?

The current OHIP fee for X209 is $0.00, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill X209 to OHIP?

X209 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates X209 claims against the Schedule of Benefits rules before submission.

What codes are related to X209?

Codes related to X209 in the Schedule of Benefits include X045.

All codes

X209

X209 – Clavicle - three or more views

OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits

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A diagnostic radiology procedure for the clavicle, requiring three or more views. This service is listed in the Diagnostic Radiology section of the Schedule of Benefits. Payment is divided into professional and technical components. General payment rules for diagnostic services, including criteria for technical component eligibility, are outlined in of the General Preamble.

When to Use

Use X209 when a formal radiographic study of the clavicle requires three or more distinct views to adequately assess a suspected fracture, dislocation, or pathology.
Use this code for complex clavicle imaging where standard two-view protocols (often covered under general skeletal survey codes) are insufficient for diagnostic clarity.

Common Pitfalls

Billing X209 when only two views were performed; ensure the requisition and the final report explicitly document three or more views to support the claim.
Attempting to bill X209 in conjunction with X045 for the same anatomical site during the same encounter, which is considered unbundling and will lead to rejection.
Failing to distinguish between the professional and technical components; ensure the claim reflects the correct component based on whether you own the equipment or are providing the interpretation only.

Billing Tips

Always verify that the clinical indication for the third view is clearly documented in the radiology report to justify the higher-intensity billing code over standard skeletal imaging.
Ensure the referring physician's information is accurately captured on the claim, as X209 requires a valid referral from a physician, nurse practitioner, or oral maxillofacial surgeon.

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Provider Fee$0.00

Surgical Assistant Fee$26.05

Non-Anaesthetist Fee$8.90

Effective: April 1, 2025

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