OPERATIONS ON THE DIGESTIVE SYSTEM AND ABDOMINAL REGION
XI
OPERATIONS ON THE URINARY TRACT
XII
OPERATIONS ON THE MALE GENITAL ORGANS
XV
OPERATIONS ON THE MUSCULOSKELETAL SYSTEM
XVI
OPERATIONS ON THE BREAST
XVII
OPERATIONS ON SKIN AND SUBCUTANEOUS TISSUE
XVIII
PROCEDURES NOT ELSEWHERE CLASSIFIED
LABORATORY AND PATHOLOGY
DIAGNOSTIC RADIOLOGY
NOTE: 1. As stated in G.R. 11.1.1, claims for services in the Diagnostic Radiology section will not be payable unless the physician has been approved by the CPSA to provide those services. 2. An additional 30% of the benefit applies to patients 12 years of age and younger, for some diagnostic radiology HSCs. Refer to Price List.
NOTE: If cine, video or automatic rapid film changer are used, add 50%, refer to Price List.
NUCLEAR MEDICINE
DIAGNOSTIC ULTRASOUND
NOTE: 1. An additional 30% of the benefit applies to patients 12 years of age and younger, except for HSCs X325, X326 and X327. 2. Ultrasound benefits include Doppler colour mapping. 3. Quantitative spectral analysis with directional flow and/or Doppler measurements (HSC X337) may be claimed in addition to ultrasound services except for HSCs X304, X306A, X306B, X323, X331, X332 and X333. 4. Where notes indicate HSCs may not be claimed in addition to X301-X338, this refers to being claimed by the same or different physician in the same location on the same day.
Planogram (tomogram, laminogram) - including stereos and fluoroscopy when necessary - any area
NOTE:
May not be claimed in addition to HSCs X 26, X 27, X 27C, X 27D, X 27E or X 27G.
Additional notes:
Listed under - DIAGNOSTIC RADIOLOGY:
As stated in G.R. 11.1.1, claims for services in the Diagnostic Radiology section will not be payable unless the physician has been approved by the CPSA to provide those services.
An additional 30% of the benefit applies to patients 12 years of age and younger, for some diagnostic radiology HSCs. Refer to Price List.
