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C332
C332 – Radiology second opinion of MRI study, per study
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A second opinion on a Magnetic Resonance Imaging (MRI) study, per study, rendered by a specialist in Diagnostic Radiology. This service is for an acute care hospital in-patient and is provided on a non-emergency basis, as indicated by the 'C' prefix (). Payment for this service is subject to the same conditions as billing code A332.
When to Use
- Use C332 when providing a formal second opinion on an MRI study for a non-emergency hospital inpatient.
- Use this code specifically when the request is for an interpretation review rather than a primary diagnostic report.
Common Pitfalls
- Billing C332 in conjunction with a special visit premium will trigger a rejection; use A332 instead if a premium is applicable.
- Submitting C332 for an emergency department patient is incorrect, as the 'C' prefix is strictly for non-emergency inpatient services.
Billing Tips
- Ensure the claim reflects the 'per study' nature of the service, as multiple MRI sequences for a single anatomical region constitute one study.
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