Bulletin Number
        September 1, 2001
Direct inquiries to

         Ministry of Health
         Processing Office

(address below)
       Physicians, Hospitals, Clinics, Laboratories


The Ministry of Health and Long -Term Care has amended regulations under the Public Hospitals Act to allow hospitals to grant expanded admitting privileges to oral and maxillofacial surgeons.  Amendments have also been made to regulations under the Health Insurance Act to ensure that certain hospital services will be insured when a patient is admitted solely by an oral and maxillofacial surgeon. To support those expanded hospital admission privileges, oral and maxillofacial surgeons will be allowed to order specific laboratory and diagnostic tests when performed at a hospital for a hospital in-patient or out-patient where the oral and maxillofacial surgeon reasonably believes that the person will require medically necessary hospital admission for a dental surgical procedure.

To accommodate these inclusions, the Schedule of Benefits for Physician Services has been amended effective September 1, 2001. Oral and maxillofacial surgeons will be able to order specific diagnostic tests under Nuclear Medicine, Diagnostic Radiology, Diagnostic Ultrasound, Pulmonary Function Studies and Diagnostic and Therapeutic Procedures for their patients when performed in the hospital or in the hospital out-patient department where the oral and maxillofacial surgeon reasonably believes that the person will require medically necessary hospital admission for a dental surgical procedure.  Diagnostic services on in-patients are not paid on a fee-for-service basis but are included in the hospital’s global budget. Diagnostic services ordered by a dentist or oral and maxillofacial surgeon performed in an independent health facility, community laboratory or private physician’s office are uninsured under all circumstances.

 The specific diagnostic tests are as follows:



J850/J650 to J853/J653
Y850/Y650 to Y853/Y653
J883/J683 to J884/J684
Y883/Y683 to Y884/Y684

Nuclear Medicine – bone and labeled leukocyte scintigraphy

X001 to X020
X036 to X038
X066, X226
X090 to X092, X039, X400, X401, X188
X402, X405, X408
X163, X167, X176


Diagnostic Radiology – plain x-rays of the head, neck, chest, pelvis and or hip(s), tibia and fibula; 

Computed tomography of the head;
Fistulas or sinus examinations; Sialograms

J105/J405, J106/J406

Diagnostic Ultrasound – face and sinuses

J301 to J340, E450, E451, Z459

Pulmonary Function Studies

G310, G313

Diagnostic and Therapeutic Procedures - Electrocardiograms

Claims Submissions:

Any claims for services requested by an oral and maxillofacial surgeon other than those listed above will not be paid.  To ensure proper processing, the services requested by the oral and maxillofacial surgeons should be submitted separately from the other claims.


Bulletins and the updated version of the Schedule may be seen on the Ministry of Health and Long-Term Care website www.health.gov.on.ca
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
1400 Weber St. E. Unit B2
N2A 3Z8
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 48
Kingston, ON
K7L 5J3