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X224
X224 – Knee including patella - three or four views
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
Knee including patella, three or four views. This is a diagnostic radiology procedure that is comprised of a technical component (the 'H' fee, claimed with suffix B) and a professional component (the 'P' fee, claimed with suffix C). The technical component covers the performance of the imaging, while the professional component covers the interpretation and report by a specialist.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon, DentalSurgeon
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.
The fee for X224 is split into a technical component ('H' fee: $9.90) and a professional component ('P' fee: $13.00).
For diagnostic services which have both technical and professional components listed under one fee schedule code, the technical and professional components are claimed separately. The claim for the technical component is submitted using the fee schedule code with the suffix B and the claim for the professional component is submitted using the fee schedule code with a suffix C.
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