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E874 – CT perfusion study

OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits

This service is an add-on premium payable in addition to a qualifying head CT scan when a CT perfusion study is rendered. It is only eligible for payment for the investigation of acute stroke where the interpretation is provided within the limited period of time following acute stroke during which the treating physician must render therapeutic decisions. The fee for E874 includes: • The administration of contrast necessary to complete the CT perfusion study. • Creation and interpretation of post-imaging colour mapping of cerebral perfusion maps for regional cerebral blood flow, cerebral blood volume, and mean blood transit time.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon

1. **E874 is *only eligible for payment* when the study is rendered as part of the investigation of acute stroke and the interpretation is rendered within the limited period of time following acute stroke during which the treating physician must render therapeutic decisions. 2. E874 includes the administration of contrast necessary to complete the CT perfusion study. 3. E874** includes creation and interpretation of post-imaging colour mapping of cerebral perfusion maps for regional cerebral blood flow, cerebral blood volume, and mean blood transit time.

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