OHIP Billing Codes

Specialty: Miscellaneous Examinations

Code	Description	Tech	Prof	Fee
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X150	Mechanical evaluation of knee	28.95	16.15
X151	Cordotomy, percutaneous	55.05	35.55
X154	Penis	18.15	4.8
X163	Dacrocystogram	33.65	11.85
X164	Discogram(s) - one or more levels	32.95	23.45
X165	Photographic subtraction		11.6
X166	Examination using portable machine "in home" add to first examination only	73.65
X167	Fistula or sinus	24.45	11.7
X169	Laminogram, planigram, tomogram	45.4	11.6
X170	Laryngogram	32.95	23.45
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X171	Lymphangiogram	55.75	23.5
X172	Mammogram - No Signs or Symptoms - Dedicated Equipment - unilateral	31.95	17.25
	X194 - additional coned views with or without magnification (limit of two per breast) per film - add			5.3
X173	Myelogram - spine and/or posterior fossa	39.75	27.85
X176	Sialogram	33.9	11.6
X177	Skin thickness measurement	17.75	9.4
X178	Mammogram - No Signs or Symptoms - Dedicated Equipment - bilateral	42.3	27.55
	X194 - additional coned views with or without magnification (limit of two per breast) per film - add			5.3
X183	Ventriculogram	55.05	35.4
X184	Mammogram - Signs or Symptoms - Dedicated equipment - unilateral	31.95	17.25
X185	Mammogram - Signs or Symptoms - Dedicated equipment - bilateral	42.3	27.55
X190	Pantomography	20.2	7.05
X192	Mammary ductography	28.5	10.85
X193	Microradioscopy of the hands	16.45	11.85
X201	Breast biopsy specimen x-ray, per specimen	6.8	5.3

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