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X230
X230 – Toe - three or more views
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
This service provides for a diagnostic radiological examination of a patient's toe, consisting of three or more views. The professional component (
P) is for the physician's interpretation and report. The technical component (H) covers the cost of the facility, equipment, and staff to perform the imaging, and is subject to specific payment rules when performed in a hospital setting as detailed in .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.
All insured services must be documented in appropriate records to establish that the service was provided, was medically necessary, and is the service for which the account is submitted.
The fee listed as 'P' represents the professional component for the physician's interpretation and report. The fee is $9.05.
The fee listed as 'H' represents the technical component. The fee is $14.90. This component is not eligible for payment if the service is rendered to a hospital in-patient, or to an out-patient who is admitted to the hospital within 24 hours for the same condition. It is also not eligible for payment if rendered outside of a hospital (See ).
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