Bulletin Number
        June 30, 1998
Direct inquiries to
         Ministry of Health
         Processing Office

(address below)
        Independent Health Facilities
Subject      IHFA Licensing of Dual Energy X-ray Absorptiometry (DXA) Facilities
The Ministry of Health and the Ontario Medical Association have accepted changes recommended by the Physician Services Committee (PSC) regarding payment policy for bone mineral analysis (BMA) testing. The changes are as follows:
  • testing as an insured service is normally limited to dual energy x-ray absorptiometry (DXA) using the axial technique on a minimum of two sites including spine and hip
  • single site axial testing will be insured only when two sites are technically unfeasible, otherwise single site testing by axial technique will be paid at zero
  • peripheral DXA is considered investigational and is therefore an uninsured service.

The following amended text to the Schedule of Benefits is effective July 1, 1998:

Dual-energy X-ray Absorptiometry (DXA) - Axial technique only. Maximum one per patient per year (see Diagnostic Radiology Preamble)

X152 - one site (must be either hip or spine, only if two site
   technically unfeasible due to prosthesis or deformity)
66.00 38.00
X153 - two or more sites (must include hip and spine) 85.00 45.43
X157 (unchanged)

The corresponding facility fees for X152 and X153 are $71.08 and $91.54 respectively.

All operators of independent health facilities (IHFs) who are currently licensed to perform BMA using DXA (codes X152 and X153) will continue to be licensed for these codes. Operators who currently have peripheral equipment must obtain axial equipment in order to bill for services under the revised service descriptions associated with these codes.

Office locations
30 Poyntz St.
L4M 3P2
119 King St. W
P.O. Box 2280, Stn. A
L8N 4C8
220-808 Robertson St.
P9N 1X9
1055 Princess St.
P.O. Box 9000
K7L 5A9
Canada Life Square
Main Floor
235 King St. E.,
N2G 4N5
217 York St., 5th FloorP.O. Box 5700
Terminal A
N6A 1B7
201 City Centre Dr.
P.O. Box 7020, Stn. A
L5A 3M1
North Bay
101-447 McKeown St.
P1B 9S9
Exec. Tower,
Oshawa Centre.
419 King St. W.
P.O. Box 635 L1H 8L4
Fuller Building
75 Albert Street
K1P 5Y9
Owen Sound
981 2nd Avenue E.
N4K 2H5
550 Lansdowne St. W.
K9J 8J8
St. Catharines
59 Church St
3rd Floor
L2R 3C3
452 Christina St. N.
N7T 5W4
Sault Ste. Marie
Roberta Bondar Place
70 Foster Dr., Ste. 100
P6A 6V4
199 Larch St.,
Suite 801
P3E 5R1
Thunder Bay
435 James St. S. ,
Suite 113
P7E 6T1
38 Pine St. N., Ste. 110
P4N 6K6
2195 Yonge St.
P.O Box 1700 Stn. A
M5W 1G9
1427 Ouellette Ave.
N8X 1K1
Head Office
P.O. Box 38
Kingston, ON
K7L 5J2