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X212
X212 – Shoulder - three or more views
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A diagnostic radiology service involving three or more x-ray views of the shoulder. This service is comprised of a professional component (interpretation and report) and a technical component (performing the x-ray).
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
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 this upon request by the MOH.
All insured services must be documented in appropriate records to establish that an insured service was provided, the service claimed is the service that was rendered, and the service was medically necessary.
The fee listed in the Schedule (25.60 / 11.60) represents the total fee and the professional component fee, respectively. The technical component is the difference between these two values.
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