Diagnostic Radiology, MRI & Radiation Oncology — OHIP Billing Codes

All 258 Diagnostic Radiology, MRI & Radiation Oncology codes (X codes)

Complete alphabetical list of OHIP X-prefix billing codes from the Ontario Schedule of Benefits.

• X001Skull - four views
• X003Sella turcica
• X004Facial bones - three views
• X005Nose x-ray - two views
• X006Mandible - three views
• X007Temporomandibular joints - four views
• X009Skull - five or more views
• X010Mastoids - bilateral - six views
• X011Internal auditory meati
• X012Mandible - four or more views
• X016Eye, for foreign body
• X017Eye, for localization, additional
• X018Optic foramina
• X019Salivary gland region
• X020Neck for soft tissues - two views
• X025Cervical spine - two or three views
• X027Thoracic spine - two views
• X028Lumbar or lumbosacral spine - two or three views
• X031Orthoroentgenogram (3 foot film) - two or more views
• X032Entire spine (scoliosis series) - four views
• X033Orthoroentgenogram (3 foot film) - single view
• X034Sacrum and/or coccyx - two views
• X035Sacro-iliac joints - two or three views
• X036Pelvis and/or hip(s) - one view
• X037Pelvis and/or hip(s) - two views
• X038Pelvis and/or hip(s) - three or more views
• X039Ribs - two or more views
• X040Sternum X-ray (two or more views)
• X045Clavicle - two views
• X046Acromioclavicular joints (bilateral) with or without weighted distraction - two views
• X047Sternoclavicular joints - two or three views
• X048Shoulder - two views
• X049Scapula - two views
• X050Humerus including one joint - two views
• X051Elbow - two views
• X052Forearm including one joint - two views
• X053Wrist - two or three views
• X054Hand - two or three views
• X055Wrist and hand - two or three views
• X056Finger or thumb - two views
• X057Skeletal survey for bone age - single film
• X058Skeletal survey for bone age - two or more films or views
• X060Hip (unilateral) - two or more views
• X063Femur including one joint - two views
• X064Leg length studies (orthoroentgenogram)
• X065Knee including patella - two views
• X066Tibia and fibula including one joint - two views
• X067Ankle - two or three views
• X068Calcaneus - two views
• X069Foot - two or three views
• X072Toe - two views
• X080Other survey studies - single view
• X081Other survey studies - each additional film or view
• X090Chest X-ray - single view
• X091Chest X-ray - two views
• X092Chest - three or more views
• X096Thoracic inlet - two or more views
• X100Abdomen - single view
• X101Abdomen - two or more views
• X103Double contrast oesophagus, stomach and duodenum, including survey film and small bowel
• X104Oesophagus, stomach and duodenum - double contrast
• X105Palatopharyngeal analysis - cine or videotape
• X106Pharynx and oesophagus - cine or videotape
• X107Oesophagus
• X108Oesophagus, stomach and duodenum - including survey film, if taken
• X109Oesophagus, stomach and small bowel
• X110Hypotonic duodenogram
• X111Small bowel only
• X112Barium enema
• X113Colon - air contrast
• X114Gallbladder - one or multiple day examinations
• X116T-tube cholangiogram
• X117Operative cholangiogram
• X120Gallbladder - one or multiple day examinations with preliminary plain film
• X121Stereotactic core breast biopsy
• X122Cholangiogram, percutaneous trans-hepatic
• X123Operative pancreatogram or ERCP
• X124CT Neck - with and without IV contrast
• X125Thorax CT with and without IV contrast
• X126CT Abdomen with and without IV contrast
• X127CT Extremities - with and without IV contrast
• X128Spine CT - with and without IV contrast
• X129Retrograde pyelogram
• X130Intravenous pyelogram including preliminary film
• X131Cystourethrogram (non-catheter)
• X132Vertebral angiogram - unilateral
• X133Vertebral angiogram - bilateral
• X134Retrograde urethrogram
• X135Cystourethrogram, stress or voiding (catheter)
• X136Vasogram
• X137Cystogram (catheter)
• X138Percutaneous antegrade pyelogram
• X139Percutaneous nephrostogram
• X140Abdominal, thoracic, cervical or cranial angiogram by catheterization - selective (5 or more vessels)
• X141Cavernosography
• X142Subsequent test - non-high-risk patient - one site
• X145Bone mineral density measurement - baseline test - one site
• X146Baseline test - two or more sites
• X147Hysterosalpingogram
• X148Subsequent test - non-high-risk patient - two or more sites
• X149Subsequent test - one site
• X150Mechanical evaluation of knee
• X151Cordotomy, percutaneous
• X152BMD measurement - one site - second test - low risk patient
• X153Bone Mineral Density (BMD) Measurement - Second Test - Low Risk Patient - Two or More Sites
• X154Penis
• X155Dual-energy X-ray Absorptiometry - two or more sites
• X156Arthrogram, tenogram or bursogram
• X158Bronchogram - unilateral
• X159Bronchogram - bilateral
• X160Carotid angiogram by direct puncture - unilateral
• X161Carotid angiogram by direct puncture - bilateral
• X162Cerebral stereotaxis
• X163Dacrocystogram
• X164Discogram(s)
• X165Photographic subtraction
• X166Examination using portable machine “in home”
• X167Fistula or sinus
• X168CT guidance of biopsy
• X169Laminogram, planigram, tomogram
• X170Laryngogram
• X171Lymphangiogram
• X172No signs or symptoms - unilateral
• X173Myelogram - spine and/or posterior fossa
• X174Peripheral angiogram - unilateral
• X175Peripheral angiogram - bilateral
• X176Sialogram
• X177Skin thickness measurement
• X178No signs or symptoms - bilateral
• X179Abdominal, thoracic, cervical or cranial angiogram - non-selective using single films
• X180Abdominal, thoracic, cervical or cranial angiogram - selective
• X181Angiogram - non-selective using film changer, cine or multiformat camera
• X182Using film changer, cine or multiformat camera - selective (per vessel, to a maximum of 4)
• X183Ventriculogram
• X184Mammogram - signs or symptoms - unilateral
• X185Mammogram - bilateral - signs or symptoms
• X188CT head with and without IV contrast
• X189Fluoroscopic control of clinical procedures done by another physician per 1/4 hour
• X190Pantomography
• X191Intestinal conduit examination or nephrostogram
• X191BIntestinal Conduit Examination or Nephrostogram - Technical Component
• X191CIntestinal Conduit Examination or Nephrostogram - Professional Component
• X192Mammary ductography
• X193Microradioscopy of the hands
• X194Additional coned views with or without magnification
• X195Fluoroscopy of the chest
• X196Fluoroscopy of skeleton
• X197Abdomen
• X198Splenoportogram
• X199Translumbar aortogram
• X200Arthrography, tenography or bursography with fluoroscopy and complete positioning
• X201Breast biopsy specimen x-ray
• X202Cervical spine - four or five views
• X203Cervical spine - six or more views
• X204Thoracic spine - three or more views
• X204BThoracic Spine - Three or More - Technical Component
• X204CThoracic Spine - Three or More - Professional Component
• X205Lumbar or lumbosacral spine - four or five views
• X206Lumbar or lumbosacral spine - six or more views
• X207Sacrum and/or coccyx - three or more views
• X208Sacro-iliac joints - four or more views
• X209Clavicle - three or more views
• X210Acromioclavicular joints (bilateral) - three or more views
• X211Sternoclavicular joints (bilateral) - four or more views
• X212Shoulder - three or more views
• X213Scapula - three or more views
• X214Humerus including one joint - three or more views
• X215Elbow - three or four views
• X216Elbow - five or more views
• X217Forearm including one joint - three or more views
• X218Wrist - four or more views
• X219Hand - four or more views
• X220Wrist and hand - four or more views
• X221Finger or thumb - three or more views
• X223Femur including one joint - three or more views
• X224Knee including patella - three or four views
• X225Knee including patella - five or more views
• X226Tibia and fibula including one joint - three or more views
• X227Ankle - four or more views
• X228Calcaneus - three or more views
• X229Foot - four or more views
• X230Toe - three or more views
• X231CT Pelvis - without IV contrast
• X232CT pelvis - with IV contrast
• X233CT pelvis - with and without IV contrast
• X234CT colonography
• X235Cardio-thoracic CT
• X236Additional test - two or more sites
• X237Additional test - one site
• X302Teleradiotherapy
• X304Minor teleradiotherapy
• X305Proctoscopy - first application
• X306Proctoscopy - repeat application
• X310Level 1 - Simple Treatment Planning
• X311Level 2 treatment planning
• X312Level 3 - per patient, per course of treatment
• X313Level 4 treatment planning
• X322Treatment planning, dosage calculation and preparation of any special treatment device
• X323Intracavitary application of radium or sealed sources - first application
• X324Interstitial application of radium or sealed radioisotope
• X325Application of radium or radioisotope plaque or mould
• X326Thyroid malignancy
• X327Hyperthyroidism
• X328Polycythemia
• X329Metastatic disease of bone
• X330Ascites and/or pleural effusion(s) due to malignancy
• X332Arthritis - single or multiple site
• X334Intracavitary application of radium or sealed sources - repeat application
• X335Induction of hypothyroidism
• X336Prostate malignancy
• X337Placement of fiducial markers into the prostate
• X338Placement of rectal spacer
• X339Placement of fiducial markers into the vagina
• X400CT head without IV contrast
• X401CT head with IV contrast
• X402Complex head CT without IV contrast
• X403CT Neck - without IV contrast
• X404CT neck - with IV contrast
• X405Complex head - with IV contrast
• X406CT Thorax - without IV contrast
• X407CT Thorax with IV contrast
• X408Complex head CT with and without IV contrast
• X409CT Abdomen - without IV contrast
• X410CT Abdomen - with IV contrast
• X411X411
• X412Computed Tomography - Extremities - without IV contrast
• X413CT - Extremities with IV contrast
• X415CT Spine - without IV contrast
• X416CT scan - Spine - with IV contrast
• X417Three dimensional CT acquisition sequencing
• X421MRI - Head - multislice sequence
• X425MRI repeat (another plane, different pulse sequence)
• X431Neck - multislice sequence
• X435MRI Neck - repeat
• X441Thorax - multislice sequence
• X445MRI - Thorax - repeat
• X446Breast - multislice sequence
• X447MRI repeat sequence
• X451Abdomen - multislice sequence
• X455MRI - repeat
• X458Magnetic resonance elastography (MRE) for quantification of fat and/or iron deposition in the liver
• X461Pelvis - multislice sequence
• X465Pelvis MRI - repeat pulse sequence
• X471MRI - multislice sequence, one extremity and/or one joint
• X475MRI - repeat, extremity or joint
• X480MRI guidance of biopsy or lesion ablation, breast, unilateral
• X481MRI guidance of biopsy or lesion ablation, internal organ
• X486MRI - when cardiac gating is performed
• X487Complex spine - when gadolinium is used
• X488Multislice MRI sequence, two or more extremities or joints
• X489MRI repeat sequence - extremity or joint
• X490Limited spine (one segment) - multislice sequence
• X492Limited spine - repeat imaging
• X493Intermediate spine - multislice sequence
• X495Intermediate spine - repeat
• X496Complex spine - multislice sequence
• X498Complex spine - repeat (another plane, different pulse sequence - maximum of 3 repeats)
• X499Three Dimensional MRI acquisition sequence