X217 – Forearm including one joint - three or more views
OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
This service is a diagnostic radiological examination of the forearm, which must include one adjacent joint (either the elbow or the wrist). Payment for this code requires that three or more radiographic views are taken. This service has both a professional component (P fee) for the interpretation and a technical component (H fee) for the image acquisition. Specific payment rules apply regarding the eligibility of the technical component in hospital settings (see :).
When to Use
- Use X217 when performing a diagnostic radiographic examination of the forearm that includes either the elbow or the wrist joint, provided a minimum of three views are obtained.
- Select X217 over X052 when the clinical requirement necessitates three or more views to adequately assess the forearm and the adjacent joint.
Common Pitfalls
- Submitting X217 for a study with only two views, which is an audit risk; use X052 for two-view examinations instead.
- Failing to append the correct suffix (B for the technical component and C for the professional component) results in claim rejection as these must be billed separately.
Billing Tips
- Ensure the documentation explicitly confirms that three or more views were captured to satisfy the mandatory requirements for this specific code.
Effective: April 1, 2025
D. Diagnostic Radiology
DIAGNOSTIC RADIOLOGY
Diagnostic
Diagnostic Radiology
All insured services must be documented in appropriate records to 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.
This code is for three or more views. For two views, see X052.
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