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X225
X225 – Knee including patella - five or more views
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
This is a diagnostic radiology procedure for the lower extremities involving a comprehensive examination of the knee, including the patella, through five or more X-ray views. As per , the service is composed of a technical component (H fee) and a professional component (P fee). The technical component covers the use of equipment and personnel, while the professional component covers the physician's interpretation and report.
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 service, including data acquisition, reporting, and record keeping, and must be able to demonstrate this upon request by the MOH. Source: :.
For payment of the trauma premium E420, the medical record must list the patient's Injury Severity Score (ISS). Source: :.
For special visit premiums for non-elective diagnostic services, the time at which the special visit takes place must be documented on the medical record. Source: :. Additionally, the request for interpretation must relate to a patient's condition requiring urgent interpretation that affects the patient's management. Source: :.
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