X128 OHIP code: with and without IV contrast

Fee

Component	Value
Fee basis	H / P components
H / P source listing; PDF p. 381	$108.30

Schedule and sources

Fee edition: October 1, 2026
Record effective: 2025-04-01
Schedule edition: July 22, 2026; effective July 1, 2026
Official files: Fee master Schedule PDF Ontario source page

PDF page 381 / D23

- with and without IV contrast ............................................... - 108.30

Passages mentioning X128

PDF page 381 / D23

DIAGNOSTIC RADIOLOGY
 COMPUTED TOMOGRAPHY (CT)
                                                                                                H    P
     Extremities (one or more)
   X412 - without IV contrast..............................................................     -    43.25
   X413 - with IV contrast...................................................................   -    64.95
   X127 - with and without IV contrast ...............................................          -    75.85
     Spine(s)
   X415 - without IV contrast..............................................................     -    86.60
   X416 - with IV contrast...................................................................   -    97.50
   X128 - with and without IV contrast ...............................................          -   108.30
   X168 CT guidance of biopsy ............................................................      -    42.50
   X417 Three dimensional CT acquisition sequencing, including post-
          processing (minimum of 60 slices; maximum 1 scan per
          patient per day) ..................................................................   -    32.70

Fee master record

Master, record 6576. Record Layout PDF, page 1.

X12820250401999999990000000000000000000000000000000000000000000000001083000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.

Field	Raw / scale 10,000
provider	00000000000 / 0
assistant	00000000000 / 0
specialist	00000000000 / 0
anaesthetist	00000000000 / 0
non anaesthetist	00001083000 / 108.3

Explanation

AI-generated. Unreviewed.

CT scan of one or more spines, done with and without IV contrast. It falls under the Computed Tomography (CT) heading in Diagnostic Radiology.

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