What are the billing rules for X091C?

Claim the technical component as X091B and the professional component as X091C (D2, GP11). Outside a hospital, only the professional component is billable to OHIP (D2, GP11). Three or more views (X092) should not be done routinely when a chest examination is requested (D3).

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Billing code

X091C — Chest - Two Views

Q: What is OHIP billing code X091C?

Two-view chest x-ray, the usual chest series. Not payable for routine pre-operative or admission screening without a clinical indication.

Chest x-ray, two views

Bill for the usual two-view chest x-ray done for symptoms, signs or a guideline-supported indication.

Watch for: Not payable for routine pre-operative or admission screening without a clinical indication; bill by the number of views taken.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$0.00	$0.00	$27.40	$0.00	$11.70

Code: X091C
Description: Chest - Two Views
FHO+ basket: Not in the FHO+ base rate basket (Schedule 2 or 2B).
Effective date: Apr 1, 2026
Termination date: No end date

Explanation

Updated October 26, 2026

Two-view chest x-ray, the usual chest series. Not payable for routine pre-operative or admission screening without a clinical indication.

What it covers

X091 is a chest radiograph of two views (D10). It has a technical component (H) and a professional component (P), claimed separately; the claiming physician must personally interpret the study (D1, D2).

Billing rules

Claim the technical component as X091B and the professional component as X091C (D2, GP11).
Outside a hospital, only the professional component is billable to OHIP (D2, GP11).
Three or more views (X092) should not be done routinely when a chest examination is requested (D3).
Bill by the number of views taken: a single view is X090, three or more views X092 (D10).
Not payable for routine pre-operative screening for non-cardiac, non-thoracic surgery, or for screening or admission without clinical indication; payable for symptoms, signs or a guideline-supported indication (D3).
A stereo pair counts as two views (D2).
The technical component is not payable for an in-patient, or a patient admitted to the same hospital within 24 hours for the same condition (GP11).

Related codes: X090, X092, X039, X040, X096, X101

Source: Schedule of Benefits (July 1, 2026), Diagnostic Radiology, Chest and Abdomen, Chest, page D10; section preamble pages D1 to D3; General Preamble GP11

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