Fee Navigator®

    Health Service Code X105

    Planogram (tomogram, laminogram) - including stereos and fluoroscopy when necessary - any area


    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.

    Category:T Test
    Base rate:$119.01

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    XRAYCINEYesIncrease Base To150%

    Governing Rules:

    No Governing Rules.