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Billing code

X225C — Knee Including Patella - Five Or More Views

Knee x-ray, 5+ views

Bill for an x-ray of one knee, including the patella, with five or more views.

Watch for: Bill by views taken: three or four views are X224 and two views are X065, not X225.

Code

X225C

Description

Knee Including Patella - Five Or More 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

Knee x-ray including the patella, five or more views, one side. The top tier of the knee series after X065 and X224.

What it covers

X225 is a knee radiograph including the patella with five or more views (D8). Two views are X065 and three or four views are X224 (D8). Fees are for a unilateral exam unless stated otherwise, and technical (H) and professional (P) components are claimed separately (D1, D2).

Billing rules

• Claim the technical component as X225B and the professional component as X225C (D2, GP11).
• Outside a hospital, only the professional component is billable to OHIP (D2, GP11).
• Bill by the number of views taken: fewer than five knee views is X224 (three or four) or X065 (two), not X225 (D8).
• One knee per listing; comparison films of the other side initiated by the radiologist are not claimed (D2).
• A stereo pair counts as two views toward the five (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: X065, X224, X063, X066, X067

Source: Schedule of Benefits (July 1, 2026), Diagnostic Radiology, Lower Extremities, Knee including patella, page D8; section preamble pages D1 to D2; General Preamble GP11

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