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Diagnostic & laboratory specialties
Diagnostic Radiology OHIP billing codes
Radiology consultations, second opinions and after-hours premiums, then the imaging services by modality: plain film by region, CT, MRI, ultrasound, mammography, fluoroscopy, contrast studies and bone density.
161 codes in 13 sections, fees from the current Schedule of Benefits. Every code the Schedule lists for specialty 33 is in the full Diagnostic Radiology listing.
These services are paid as separate technical and professional components in the Schedule of Benefits. The component fee columns are not yet loaded here, so rows show the code and service; open a code for its full Schedule entry.
Consultations, second opinions & assessments
- A335ConsultationConsultation (Diagnostic Radiology)—
- A365Special Interventional Radiological ConsultationSpecial interventional radiological consultation—
- A330Radiology Second Opinion of CT StudyRadiology second opinion of CT study, per study—
- A332Radiology Second Opinion of MRI StudyRadiology second opinion of MRI study, per study—
- A331Minor Assessment - Diagnostic RadiologyMinor assessment - Diagnostic Radiology—
- A338Minor AssessmentMinor assessment by a radiologist to evaluate the advisability of a procedure that is not performed.—
- C365Special interventional radiological consultationA special interventional radiological consultation for a non-emergency hospital in-patient. This service is subject to the same conditions as billing code <billingCode>A365</billingCode>.—
- C330Radiology second opinion of CT studyRadiology second opinion of a CT study for an acute care hospital in-patient, subject to the same conditions as `<billingCode>A330</billingCode>`. —
- C332Radiology second opinion of MRI study, per studyProvides for a radiologist's second opinion on an MRI study for an acute care hospital in-patient on a non-emergency basis. This service is subject to the same conditions as billing code <billingCode>A332</billingCode>.—
- C335Radiology second opinion of PET studyConsultation - subject to the same conditions as A335—
Plain film — head, spine & pelvis
- X001Skull - four viewsA diagnostic X-ray service for the skull, consisting of four views. This service includes both a technical component (H-fee) for performing the image acquisition and a professional component (P-fee) for interpretation.—
- X009Skull - five or more viewsA diagnostic radiology procedure for a skull X-ray that includes five or more views. Payment is divided into a professional (`P`) and technical (`H`) component, with specific billing rules for each as per <SectionPages>D5</SectionPages>.—
- X004Facial bones - three viewsA radiological examination of the facial bones, consisting of three views. This service has separate professional (P) and technical (H) components.—
- X006Mandible - three viewsA radiological examination of the mandible involving three views, which may be unilateral or bilateral. This service has both a professional (P) and a technical (H) fee component.—
- X025Cervical spine - two or three viewsA diagnostic radiological examination of the cervical spine involving two or three views.—
- X202Cervical spine - four or five viewsRadiographic examination (X-ray) of the cervical spine involving four to five views. This service has separate technical (H) and professional (P) fee components.—
- X203Cervical spine - six or more viewsA diagnostic radiology service for an x-ray of the cervical spine involving six or more views. This service is split into a technical component ('H' fee) and a professional component ('P' fee).—
- X027Thoracic spine - two viewsA diagnostic radiology examination of the thoracic spine involving two views. This service includes both a professional component for interpretation (P-fee) and a technical component for performing the x-ray (H-fee).—
- X028Lumbar or lumbosacral spine - two or three viewsA diagnostic radiology service providing two or three X-ray views of the lumbar or lumbosacral spine. This service includes both a technical (H) and professional (P) fee component.—
- X205Lumbar or lumbosacral spine - four or five viewsA diagnostic x-ray of the lumbar or lumbosacral spine consisting of four or five views. This service includes both a technical component (H fee) and a professional component (P fee).—
- X206Lumbar or lumbosacral spine - six or more viewsA radiological examination of the lumbar or lumbosacral spine, requiring six or more views. This service includes both a technical (H) and professional (P) component.—
- X032Entire spine (scoliosis series) - four viewsA diagnostic radiology service for an entire spine scoliosis series, involving four views. This service includes technical (H) and professional (P) fee components and can be ordered by various practitioners under specific conditions.—
- X034Sacrum and/or coccyx - two viewsA diagnostic radiology service for two views of the sacrum and/or coccyx. This service has both a technical (H-fee) and professional (P-fee) component.—
- X035Sacro-iliac joints - two or three viewsA diagnostic radiology examination of the sacro-iliac joints involving two or three views. This service has both a professional component (interpretation) and a technical component.—
- X036Pelvis and/or hip(s) - one viewA diagnostic radiology service for a single-view x-ray of the pelvis and/or hip(s), which includes both technical (H) and professional (P) components.—
- X037Pelvis and/or hip(s) - two viewsA diagnostic radiology service providing two x-ray views of the pelvis and/or hip(s). This service includes both a professional component (P) for interpretation and a technical component (H) for performing the imaging.—
- X038Pelvis and/or hip(s) - three or more viewsA diagnostic X-ray of the pelvis and/or hip(s) involving three or more views, such as an AP of both hips plus a lateral of each hip. This service has separate technical (H) and professional (P) components.—
Plain film — chest & abdomen
- X090Chest - single viewA diagnostic radiology procedure providing a single view X-ray of the chest. This service has both a professional component (P) for interpretation and a technical component (H) for image acquisition.—
- X091Chest and abdomen - two viewsA diagnostic imaging service consisting of two radiographic views of the chest. This service has separate professional ('P') and technical ('H') components.—
- X092Chest and abdomen - three or more viewsA diagnostic radiology service for a chest X-ray involving three or more views. This service has separate fees for the technical (`H`) and professional (`P`) components.—
- X039Ribs - two or more viewsA diagnostic radiology (x-ray) service for the ribs involving two or more views. This service includes both a technical (H) and a professional (P) component, which are billed separately.—
- X040Sternum - two or more viewsA diagnostic radiology procedure for the sternum, involving two or more views. The service fee is divided into a technical component (H-fee) for the facility and a professional component (P-fee) for the physician's interpretation.—
- X100Abdomen - single viewA diagnostic radiology service for a single-view x-ray of the abdomen, comprising a technical component ('H' fee) for the procedure and a professional component ('P' fee) for the interpretation.—
- X101Abdomen - two or more viewsA radiological examination of the abdomen requiring two or more views, including both professional (P) and technical (H) components.—
Plain film — upper extremity
- X045Clavicle - two viewsA diagnostic radiology procedure for the clavicle, consisting of two views. Fees are listed for the service performed in a hospital (professional component only) and outside of a hospital (professional and technical components).—
- X048Shoulder - two viewsA diagnostic X-ray of the shoulder, consisting of two views.—
- X212Shoulder - three or more viewsA diagnostic radiology service for three or more x-ray views of the shoulder.—
- X050Humerus including one joint - two viewsA diagnostic radiological service providing two x-ray views of the humerus, including one adjacent joint.—
- X051Elbow - two viewsA diagnostic X-ray of the elbow consisting of two views. This procedure has both a professional component (interpretation) and a technical component (performing the X-ray).—
- X215Elbow - three or four viewsA radiological examination (X-ray) of the elbow, capturing three or four different views for diagnostic assessment.—
- X052Forearm including one joint - two viewsRadiological examination of the forearm, including one joint, consisting of two views. This service includes both professional (interpretation) and technical (image acquisition) components.—
- X053Wrist - two or three viewsRadiographic examination (X-ray) of the wrist, involving two or three views. This service is a diagnostic procedure with both technical and professional components.—
- X054Hand - two or three viewsA diagnostic radiology service providing two or three radiographic views of the hand.—
- X055Wrist and hand - two or three viewsA diagnostic radiological examination of the wrist and hand, including two or three views.—
- X056Finger or thumb - two viewsA diagnostic radiology service providing two X-ray views of a single finger or thumb. This service includes a technical component (performing the imaging) and a professional component (interpretation).—
- X046Acromioclavicular joints (bilateral) - two viewsA diagnostic radiology service consisting of two X-ray views of both acromioclavicular joints, which may include weighted distraction to assess joint stability.—
Plain film — lower extremity
- X060Hip (unilateral) - two or more viewsA diagnostic x-ray of one hip, requiring two or more views. This service is billed with separate fees for the technical (H) component and the professional (P) component.—
- X223Femur including one joint - three or more viewsA diagnostic x-ray examination of the femur, including one adjacent joint (hip or knee), requiring three or more views.—
- X065Knee including patella - two viewsA diagnostic radiology service for a two-view X-ray of the knee, including the patella.—
- X224Knee including patella - three or four viewsA diagnostic radiology examination of the knee, including the patella, from three or four views. This service includes both technical and professional components.—
- X225Knee including patella - five or more viewsA diagnostic radiological examination of the knee and patella, consisting of five or more views. This service includes a professional component (P) for interpretation and a technical component (H) for the procedure itself.—
- X066Tibia and fibula - two viewsA diagnostic radiology service for two views of the tibia and fibula, including one joint. This service has separate technical (H) and professional (P) fee components.—
- X067Ankle - two or three viewsA diagnostic x-ray of the ankle involving two or three views.—
- X227Ankle - four or more viewsRadiography (x-ray) of the ankle, consisting of four or more views.—
- X068Calcaneus - two viewsA diagnostic radiological examination of the calcaneus (heel bone), requiring two views. This service has both professional and technical components.—
- X229Foot - four or more viewsA diagnostic radiology service (X-ray) of the foot involving four or more views. This service has both professional (P) and technical (H) components.—
- X072Toe - two viewsA diagnostic radiology procedure of the toe, consisting of two views. This service includes both a technical (H) component for taking the image and a professional (P) component for interpretation.—
- X064Leg length studies (orthoroentgenogram)A diagnostic X-ray examination for measuring and comparing the lengths of the lower limbs, known as an orthoroentgenogram. Payment is divided into a professional component for interpretation and a technical component for the imaging service.—
CT
- X400CT head - without IV contrastA Computed Tomography (CT) scan of the head, performed without the use of intravenous contrast material.—
- X401CT head with IV contrastA computed tomography (CT) scan of the head performed with the use of intravenous (IV) contrast material. This is a diagnostic radiology procedure.—
- X188CT Head - with and without IV contrastA Computed Tomography (`CT`) scan of the head, performed both with and without the administration of intravenous (`IV`) contrast material.—
- X402Complex head - without IV contrastA complex computed tomography (CT) scan of the head performed without the use of intravenous contrast.—
- X405Complex head - with IV contrastA complex Computed Tomography (CT) scan of the head, performed with intravenous (IV) contrast. This service is intended for specific clinical scenarios as outlined in the Diagnostic Radiology Preamble.—
- X408Complex head - with and without IV contrastA complex computed tomography (CT) scan of the head, performed with and without intravenous contrast, for detailed diagnostic evaluation as defined in the Diagnostic Radiology Preamble.—
- X403CT Neck - without IV contrast A computed tomography (CT) scan of the neck performed without the use of intravenous contrast material. —
- X404CT Neck - with IV contrastComputed Tomography (CT) scan of the neck performed with the use of intravenous contrast material. This is a diagnostic radiology service.—
- X124CT Neck - with and without IV contrastA Computed Tomography (CT) scan of the neck, performed both without and subsequently with the administration of intravenous (IV) contrast material, and includes the professional interpretation.—
- X406Thorax CT - without IV contrastA computed tomography (CT) scan of the thorax performed without the use of intravenous contrast. This is a diagnostic radiology procedure.—
- X407Thorax - with IV contrastA computed tomography (CT) scan of the thorax performed with the administration of intravenous (IV) contrast.—
- X125CT Thorax - with and without IV contrastA Computed Tomography (CT) scan of the thorax (chest area) performed first without, and then with, the use of an intravenous contrast agent.—
- X409CT Abdomen - without IV contrastA computed tomography (CT) scan of the abdomen performed without the use of intravenous contrast.—
- X410CT Abdomen with IV contrastA computed tomography (CT) scan of the abdomen performed with the administration of intravenous (IV) contrast material.—
- X126CT Abdomen - with and without IV contrastA Computed Tomography (CT) scan of the abdomen performed both without and subsequently with the use of intravenous contrast material for enhanced imaging.—
- X231CT Pelvis - without IV contrastA computed tomography (CT) scan of the pelvis performed without the use of intravenous contrast material.—
- X415CT Spine - without IV contrastComputed Tomography (CT) of one or more regions of the spine, performed without intravenous contrast material.—
- X416CT Spine with IV contrastA Computed Tomography (CT) scan of one or more spinal regions performed with the use of intravenous (IV) contrast material. The fee represents a global charge for the procedure and interpretation.—
- X128CT Spine - with and without IV contrastA computed tomography (CT) scan of one or more spinal regions, performed both with and without the administration of intravenous (IV) contrast material.—
- X412Computed tomography of extremities - without IV contrastA Computed Tomography (CT) scan of one or more extremities performed without the administration of intravenous (IV) contrast material.—
- X413Computed tomography - Extremities - with IV contrastA Computed Tomography (CT) scan of one or more extremities performed with the administration of intravenous contrast material.—
- X127Computed tomography of extremities with and without IV contrastA Computed Tomography (CT) scan of one or more extremities, performed first without, and then with, intravenous contrast enhancement.—
- X235Cardio-thoracic CTCardio-thoracic CT is a gated imaging service of the cardio-thoracic structures, including coronary arteries, with and without contrast. It requires a minimum 64-detector CT scanner and is payable for specific clinical indications or when conventional angiography is not feasible.—
- X417Three dimensional CT acquisition sequencingA three-dimensional CT acquisition sequencing service, which includes post-processing. This service requires a minimum of 60 slices and is limited to one scan per patient per day.—
- X168CT guidance of biopsyProvides for the use of computed tomography (CT) as guidance for a biopsy procedure. This is a diagnostic radiology service, listed under the sub-heading for spine procedures.—
- E874CT perfusion studyAn add-on premium for specific head CT scans (X188, X400, X401, X402, X405, or X408) when a CT perfusion study is performed for the investigation of acute stroke.$64.00
MRI
- X421Multislice sequenceA multislice sequence Magnetic Resonance Imaging (MRI) of the head. Can be billed with an add-on for magnetic resonance spectroscopy (<billingCode>E875</billingCode>).—
- X425Repeat MRI (another plane, different pulse sequence)A repeat Magnetic Resonance Imaging (MRI) scan of the head, performed in a different plane or with a different pulse sequence than the initial scan (<billingCode>X421</billingCode>). This service is limited to a maximum of two repeats.—
- X431Multislice sequence - neckProfessional component for a multislice magnetic resonance imaging (MRI) sequence of the neck.—
- X435Repeat (another plane, different pulse sequence - to a maximum of 3 repeats)A repeat Magnetic Resonance Imaging (MRI) of the neck, involving an additional plane or a different pulse sequence. This service is limited to a maximum of 3 repeats per day.—
- X441Multislice sequenceProfessional component for a multislice sequence Magnetic Resonance Imaging (MRI) of the thorax. This service is not payable on the same day as a breast MRI (`<billingCode>X446</billingCode>`/`<billingCode>X447</billingCode>`) by the same physician.—
- X445Repeat MRI sequencerepeat (another plane, different pulse sequence - to a maximum of 3 repeats)—
- X451Multislice sequenceMagnetic Resonance Imaging (MRI) of the abdomen using a multislice sequence. This service is for the professional component (interpretation) and is not payable when used for organ biopsy guidance.—
- X455MRI repeat sequence - AbdomenA repeat Magnetic Resonance Imaging (MRI) scan of the abdomen, utilizing an additional plane or a different pulse sequence. This service can be claimed up to three times per session.—
- X461Multislice sequenceMagnetic Resonance Imaging (MRI) of the pelvis using a multislice sequence. This is the primary scan; subsequent scans in different planes or with different pulse sequences are billed using <billingCode>X465</billingCode>.—
- X465MRI repeat (another plane, different pulse sequence)A repeat magnetic resonance imaging (MRI) of the pelvis using a different plane or pulse sequence. This can be claimed up to three times in addition to the primary pelvic MRI code <billingCode>X461</billingCode>.—
- X490Limited spine multislice sequenceA multislice sequence Magnetic Resonance Imaging (MRI) for a limited, single segment of the spine. Add-on codes are available for repeats, cardiac gating, or gadolinium use.—
- X492Repeat MRI - limited spineA repeat multislice magnetic resonance imaging (MRI) sequence for a limited spine segment, performed in a different plane or with a different pulse sequence. This code is billable up to a maximum of 3 repeats per examination.—
- X495Repeat MRI - intermediate spineA repeat magnetic resonance imaging (MRI) scan of two adjoining spinal segments, utilizing a different plane or pulse sequence. This service is subject to a maximum of three repeats.—
- X496Multislice sequence - complex spineMagnetic Resonance Imaging (MRI) multislice sequence for the complex spine, defined as two or more non-adjoining spinal segments.—
- X498Repeat MRI - complex spineRepeat Magnetic Resonance Imaging (MRI) scan of a complex spine (2 or more non-adjoining segments), representing an additional imaging plane or a different pulse sequence. This service can be billed up to a maximum of 3 times per day.—
- X471Multislice sequence, one extremity and/or one jointMagnetic resonance imaging (MRI) multislice sequence for a single extremity or joint. Eligible joints include the shoulder, elbow, wrist, hip, knee, and ankle.—
- X475Repeat MRI - extremity or jointA repeat Magnetic Resonance Imaging (MRI) sequence for a single extremity or joint, such as an additional imaging plane or a different pulse sequence. Limited to a maximum of 3 repeats per initial study.—
- X446Multislice sequenceA multislice sequence Magnetic Resonance Imaging (MRI) of the breast, which can be performed unilaterally or bilaterally. It is not payable for breast biopsy guidance.—
- X447Repeat MRI sequenceA repeat MRI scan of the breast using a different plane or pulse sequence. Limited to a maximum of 3 repeats.—
- X487MRI with gadoliniumAdd-on fee for the use of gadolinium contrast material during any Magnetic Resonance Imaging (MRI) procedure.—
- X486Cardiac gating`A 30% premium added to a Magnetic Resonance Imaging (MRI) service when cardiac gating, including electrode application and ECG interpretation, is performed.`+30%
- E875Magnetic resonance spectroscopy and/or fiber trackingAn add-on fee of $19.40 for magnetic resonance spectroscopy when performed with a multislice sequence head MRI (X421).$19.40
- E876Magnetic resonance spectroscopy and/or fiber trackingAn add-on to `X425` (repeat multislice sequence MRI of the head) for the inclusion of magnetic resonance spectroscopy.$9.70
Ultrasound
- J157Diagnostic ultrasound - Gestational age for Maternal Serum Screening Programbefore 16 weeks gestation (maximum one per normal pregnancy)—
- J159Diagnostic ultrasound - pregnancy - complete - on or after 16 weeks gestationA complete pregnancy ultrasound for a normal pregnancy, performed on or after 16 weeks of gestation. This service is limited to one per normal pregnancy and is comprised of separate technical (H) and professional (P) fee components.—
- J122Brain - complete, B-modeA complete B-mode ultrasound of the brain. This service includes both a technical component (H) for image acquisition and a professional component (P) for physician interpretation.—
- J127Scan B-mode (per breast)A diagnostic B-mode ultrasound scan of a single breast. This service has a professional component (P-fee) for interpretation and a technical component (H-fee) for performing the scan.—
- J180Scan B-modeThe technical component (equipment, staff, and facility) for a B-mode ultrasound scan used for the placement of radiation therapy fields.—
- J188Transcranial doppler follow-up studyA follow-up transcranial doppler assessment of intracranial circulation, performed within 4 weeks of a <billingCode>J186</billingCode> or <billingCode>J187</billingCode>, and requiring a minimum duration of 50 minutes.—
- E475Portable ultrasoundPortable ultrasound, eligible for payment when personally rendered by a specialist in diagnostic radiology (33) in an area of a hospital outside of the diagnostic imaging department.—
Mammography & breast
- X172Mammogram - unilateral (no signs or symptoms)A unilateral mammogram performed on dedicated equipment for an individual with identified risk factors, but no signs or symptoms of breast disease, in accordance with clinical practice guidelines.—
- X178Mammogram - bilateralA bilateral mammogram for an individual without signs or symptoms, requested based on identified risk factors as per clinical guidelines. This diagnostic service uses dedicated equipment and has separate professional (P) and hospital technical (H) fee components.—
- X184Mammogram - unilateral (signs or symptoms)A unilateral mammogram performed using dedicated equipment for individuals with identified signs or symptoms of breast disease, or for the follow-up of established disease.—
- X185Mammogram - bilateral (signs or symptoms)Bilateral mammogram using dedicated equipment, performed for individuals with identified signs or symptoms of breast disease or for the follow-up of established disease.—
- X194Additional coned views with or without magnificationAn additional coned mammogram view, with or without magnification, billed per film. This service is limited to two views per breast and is used for patients with signs, symptoms, or risk factors for breast disease.—
- X192Mammary ductographyA diagnostic radiological examination of the mammary ducts. This service is comprised of separate professional (interpretation) and technical (equipment) components, each with specific billing rules and fees.—
- X121Stereotactic core breast biopsy—
Fluoroscopy & contrast studies
- X195ChestA fluoroscopic examination of the chest, performed by a physician with or without the use of spot films. This service has distinct professional and technical components for billing.—
- X196SkeletonFluoroscopy of the skeleton, performed by a physician, with or without the use of spot films. This service includes a professional component ('P') and a technical component ('H').—
- X197AbdomenA diagnostic fluoroscopy of the abdomen, with or without spot films. This service includes both a technical component (H) for the facility and a professional component (P) for the physician's interpretation.—
- X189Fluoroscopic control of clinical procedures done by another physicianProvides payment for a radiologist's time providing fluoroscopic guidance for a clinical procedure performed by another physician. Billed in 15-minute increments.—
- X107OesophagusA diagnostic radiology service for the examination of the oesophagus. This code is used when more comprehensive studies of the upper gastrointestinal tract (e.g., <billingCode>X103</billingCode>, <billingCode>X104</billingCode>, <billingCode>X108</billingCode>, <billingCode>X109</billingCode>) are not claimed.—
- X108Oesophagus, stomach and duodenum - including survey filmA diagnostic radiology examination of the oesophagus, stomach, and duodenum, which may or may not include a survey film. This service has separate technical and professional fee components.—
- X104Oesophagus, stomach and duodenum - double contrastA diagnostic radiology procedure involving a double contrast study of the oesophagus, stomach, and duodenum. This service includes a survey film, if taken.—
- X111Small bowel examinationRadiological examination of the small bowel, claimable only when it is the sole examination performed during a patient's visit. This service has both a professional and technical fee component.—
- X112Barium enemaA diagnostic radiology procedure of the colon using a barium enema, which includes a survey film if performed. This procedure is eligible for after-hours procedure premiums when required for intussusception.—
- X113Colon - air contrastAir contrast, primary or secondary, including survey films, if taken.—
- X130Intravenous pyelogram including preliminary filmA diagnostic radiological examination of the urinary tract (intravenous pyelogram) which includes a preliminary film. This service has both professional ('P') and technical ('H') components.—
- X137Cystogram (catheter)A diagnostic imaging procedure of the bladder where a contrast agent is introduced via a catheter to visualize its structure and function.—
- X135Cystourethrogram, stress or voiding (catheter)A diagnostic radiology procedure involving a cystourethrogram, performed with a catheter, to assess stress or voiding functions. This service is billed with separate technical (Fee H) and professional (Fee P) components.—
- X134Retrograde urethrogramA diagnostic imaging procedure of the urethra, typically involving the injection of contrast material. This service includes both a technical (H) component for the facility/equipment and a professional (P) component for the physician's interpretation.—
- X147HysterosalpingogramA diagnostic radiology procedure for evaluating the uterus and fallopian tubes. Payment is split into a technical component (`X147H`) and a professional component (`X147P).—
- X173Myelogram - spine and/or posterior fossaA radiological examination of the spine and/or posterior fossa using contrast media. This service includes both a professional component (interpretation) and a technical component (performing the scan).—
- X164Discogram(s) - one or more levelsA diagnostic radiology procedure for the examination of one or more intervertebral discs. This service involves the injection of contrast material and is payable once per encounter, regardless of the number of levels examined.—
Bone mineral density
- X145Bone Mineral Density - one site - baselineA baseline Bone Mineral Density (BMD) measurement for one site using Dual-energy X-ray Absorptiometry (DXA), rendered for the prevention and management of osteoporosis or osteopenia.—
- X142Subsequent test - low or medium risk patient - one siteSubsequent bone mineral density (BMD) measurement using dual-energy X-ray absorptiometry (DXA) on one site for a low-risk patient. This service is used for the management of osteoporosis or osteopenia and is limited to one test every 60 months following a second or subsequent test.—
- X148Subsequent test - low or medium risk patient - two or more sitesSubsequent bone mineral density (BMD) measurement of two or more sites using Dual-energy X-ray Absorptiometry (DXA) for a low-risk patient. This service is intended for the prevention and management of osteoporosis or osteopenia and is limited to one test every 60 months following the second or a previous subsequent test.—
Interventional
- J021Insertion of catheter and injectionA clinical diagnostic procedure for abdominal, thoracic, cervical, or cranial angiography involving the insertion of a catheter, and injection of contrast if given. This service serves as the base for add-on codes for selective catheterization.$186.05
- J022Selective catheterizationAn add-on fee for the selective catheterization of a single vessel during an angiographic procedure. This code is billed per vessel, up to a maximum of four vessels, in addition to the primary catheter insertion fee (<billingCode>J021</billingCode>).$92.15
- J025Transluminal angioplastyTransluminal angioplasty including angiography (if anatomy is known), with or without pressure measurements - one or more site(s) or vessel(s)$610.10
- J040Embolization - first vesselA clinical procedure for the embolization of the first vessel, often for treating a haemangioma or renal carcinoma, billed in addition to the appropriate angiographic procedural and radiological fees.$185.90
- J062Percutaneous cholecystostomyA clinical procedure involving the percutaneous (through the skin) placement of a drainage catheter into the gallbladder, typically performed under imaging guidance.$394.90
- J013Percutaneous trans-hepatic cholangiogramA diagnostic imaging procedure involving the percutaneous (through the skin) injection of contrast material into the bile ducts within the liver to visualize them via X-ray.$185.90
- J011MyelogramA diagnostic imaging procedure involving the injection of contrast material into the spinal canal to visualize the spinal cord and nerve roots, part of the clinical procedures associated with diagnostic radiological examinations.$101.90
- J023Intra-arterial infusion of drugsA per diem (daily) supervision fee for the intra-arterial infusion of drugs, such as for the control of gastrointestinal hemorrhage. This fee is claimed in addition to the primary angiographic procedural and radiological fees.$52.10
- Z629Percutaneous nephrostomyA surgical procedure (`<billingCode>Z629</billingCode>`) to create a percutaneous opening into the kidney for drainage. Eligible for surgeon and anaesthetist fees.$164.40
How to use this radiology code set
This is a working list, not the whole Schedule. It carries the codes the Ontario Schedule of Benefits ties to diagnostic radiology (specialty 33) — its own consultation and assessment codes, in-patient visits, premiums and the diagnostics or procedures that make up most of a day — sectioned the way a shift sheet reads. Codes open to every specialty that a radiology physician also bills (general assessments, forms, special visit premiums) live in the Family Practice and Special visit premiums sets.
Each code links to its full Schedule entry: fee history, restrictions, required diagnoses and the codes it can or cannot be billed with. Fees shown are the current provider or specialist fee; percentage premiums show the percentage they add to the base service.
Common questions
Which consultation or assessment code does diagnostic radiology bill?
The consultations, second opinions & assessments section of this set starts with A335 (Consultation). 10 codes are listed in that section.
What is in the Diagnostic Radiology code set?
161 OHIP billing codes across 13 sections: Consultations, second opinions & assessments; After-hours & special visit premiums; Plain film — head, spine & pelvis; Plain film — chest & abdomen; Plain film — upper extremity; Plain film — lower extremity; CT; MRI; Ultrasound; Mammography & breast; Fluoroscopy & contrast studies; Bone mineral density; Interventional. Radiology consultations, second opinions and after-hours premiums, then the imaging services by modality: plain film by region, CT, MRI, ultrasound, mammography, fluoroscopy, contrast studies and bone density.
Are these the current OHIP fees?
Fees are read from the current Ontario Schedule of Benefits for Physician Services and refreshed hourly. Claims are paid at the fee in force on the service date, so always confirm the effective date on the code page.
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