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E448

E448Mammogram with 3D tomosynthesis (add-on)

OHIP Surgical Assists Code · Schedule of Benefits

An add-on premium for 3D tomosynthesis when performed in conjunction with a mammogram (unilateral or bilateral, with or without signs/symptoms).

When to Use

  • Use E448 as a mandatory add-on when performing a diagnostic or screening mammogram (X172, X178, X184, or X185) specifically using 3D tomosynthesis technology.
  • Apply this code to increase the professional component fee by 50% when the imaging facility utilizes tomosynthesis equipment rather than standard 2D digital mammography.

Common Pitfalls

  • Billing E448 in conjunction with X169 or X417 will trigger an automatic rejection as these codes are mutually exclusive for the same-day service.
  • Submitting E448 without an eligible base mammogram code (X172, X178, X184, or X185) will result in a claim denial.

Billing Tips

  • Ensure your billing software is configured to automatically link E448 to the corresponding base mammogram code to guarantee the 50% fee increase is applied correctly.

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