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X336
X336 – Prostate malignancy
OHIP Laboratory Code — RADIATION ONCOLOGY · Schedule of Benefits
Radioisotope therapy for prostate malignancy using non-sealed sources. This benefit includes treatment planning, dosage calculation, and the preparation of materials. As per the note on page of the Schedule, appropriate visit and procedural benefits may be claimed in addition to this service.
When to Use
- Use X336 specifically for the administration of non-sealed radioisotope therapy for confirmed prostate malignancy.
- Apply this code when the clinical workflow includes the comprehensive treatment planning, dosage calculation, and material preparation required for prostate-specific radioisotope delivery.
Common Pitfalls
- Billing X336 in conjunction with other radiation oncology codes like X328 or X329 without distinct clinical justification for separate procedures, which may trigger an audit.
- Failing to bill the appropriate visit code (e.g., A007) on the same day, as the Schedule explicitly permits claiming visit benefits in addition to the X336 procedure fee.
Billing Tips
- Ensure your documentation clearly separates the technical component of the radioisotope preparation and dosage calculation from the professional visit component to justify claiming both X336 and a visit fee.
Provider Fee$100.00
Effective: April 1, 2025
Category
C. Radiation Oncology
Subcategory
RADIATION ONCOLOGY
Service Type
Procedure
Code Classes
Radiation Oncology
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