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X126 – CT Abdomen - with and without IV contrast

OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits

A Computed Tomography (CT) scan of the abdomen that includes an initial acquisition of images without intravenous (IV) contrast, followed by a second acquisition of images after the administration of IV contrast material. This dual-phase technique is used to enhance the visualization of blood vessels, organs, and other structures.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
All insured services must be documented in appropriate records. The medical record must establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.

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