OHIP Billing Codes

Specialty: Diagnostic Radiology

Category: 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

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OHIP Billing Codes

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