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X211
X211 – Sternoclavicular joints - four or more views
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A radiological examination of the sternoclavicular joints, bilaterally, requiring four or more views. This service is a diagnostic procedure with both professional and technical components. Per , the technical component of a diagnostic service listed in a column headed with an 'H' (or with two fee amounts) and rendered outside of a hospital is not eligible for payment. The technical component is also not eligible for payment if rendered to a hospital in-patient or a patient who is admitted to the hospital within 24 hours of the service.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
The Act requires that the medical record establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary. (:)
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. (:)
four or more views
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