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X214
X214 – Humerus including one joint - three or more views
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A radiological examination of the humerus bone including either the shoulder or elbow joint, which involves capturing three or more radiographic views. The fee for this service is split into a professional component (P-fee) for the physician's interpretation and a technical component (H-fee) for performing the X-ray. The technical component is subject to specific payment rules when performed in a hospital setting. See for details on technical and professional component billing.
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.
When referred by a non-physician (e.g., Nurse Practitioner, Oral and Maxillofacial Surgeon), the referral must be documented.
This service is for three or more views. See X050 for two views.
As per , where a minimum number of services (views) is specified, with the exception of those services listed in the “Diagnostic Radiology” section of the Schedule or unless specifically stated otherwise, rendering less than the required number makes the service not eligible for payment.
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