X232 – CT Pelvis with IV contrast
OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
This service represents a computed tomography (CT) of the pelvis with the administration of intravenous contrast. It is a diagnostic imaging procedure used to visualize the bones, soft tissues, and blood vessels within the pelvic region.
When to Use
- Use X232 when a CT of the pelvis is performed specifically with intravenous contrast to enhance soft tissue or vascular visualization.
- Select X232 for pelvic imaging where the clinical indication requires contrast enhancement, as opposed to X231 which is for non-contrast studies.
Common Pitfalls
- Billing X232 in combination with X234 is a common rejection error, as these codes are mutually exclusive for the same patient encounter.
- Failure to document the clinical necessity for contrast enhancement can lead to audit risks regarding the appropriateness of the procedure code selection.
Billing Tips
- Ensure that age-based premiums are applied correctly to the X232 base fee when the patient is under 16 years of age to maximize eligible revenue.
Effective: April 1, 2025
D. Diagnostic Radiology
DIAGNOSTIC RADIOLOGY
Diagnostic
Diagnostic Radiology
The maintenance of radiation dose should be consistent with the As Low As Responsibly Achievable principle and current standards under the direction of the radiologist Radiation Protection Officer.
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