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X216
X216 – Elbow - five or more views
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
This service is for a diagnostic X-ray examination of the elbow involving five or more views. As a diagnostic radiology service, it includes both a technical component (the taking of the images) and a professional component (the interpretation of the images). In accordance with , the physician submitting a claim for the technical component is responsible for the complete quality assurance process for all elements of the service, including data acquisition, reporting, and record keeping. The physician must have the necessary training and experience to personally render the technical component and must maintain documentation describing the quality assurance process.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
In accordance with , the physician must have the necessary training and experience to personally render the technical component of the service and must maintain documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards.
In accordance with , the medical record must establish that an insured service was provided, the service claimed is the service that was rendered, and the service was medically necessary.
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