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X232

X232CT 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.
Provider Fee$0.00
Non-Anaesthetist Fee$97.50

Effective: April 1, 2025

Category

D. Diagnostic Radiology

Subcategory

DIAGNOSTIC RADIOLOGY

Service Type

Diagnostic

Code Classes

Diagnostic Radiology

Referral RequiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon

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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