OHIP Billing Codes

Specialty: Miscellaneous Examinations

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Code Description Fee

All Codes

X151 Cordotomy, percutaneous
X163 Dacrocystogram

Complete Study - 1 and 2 dimensions

G571 Professional component $96.20
G570 Technical component $118.95

COVID-19 Immunization

G593 COVID-19 vaccine $13.00

Discogram(s)

X164 Discogram(s) - one or more levels
X167 Fistula or sinus
X169 Laminogram, planigram, tomogram
X170 Laryngogram
X171 Lymphangiogram

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X192 Mammary ductography

Mammogram

X201 Breast biopsy specimen x-ray, per specimen
X166 Examination using portable machine "in home" add to first examination only
X178 Mammogram - No Signs or Symptoms - Dedicated Equipment - bilateral
X172 Mammogram - No Signs or Symptoms - Dedicated Equipment - unilateral
X185 Mammogram - Signs or Symptoms - Dedicated equipment - bilateral
X184 Mammogram - Signs or Symptoms - Dedicated equipment - unilateral
X150 Mechanical evaluation of knee
X193 Microradioscopy of the hands
X173 Myelogram - spine and/or posterior fossa
X190 Pantomography
X154 Penis
X165 Photographic subtraction
X176 Sialogram
X177 Skin thickness measurement
X183 Ventriculogram

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.

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