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X127
X127 – CT Extremities - with and without IV contrast
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
Medical record must document the medical necessity for the service.
For services ordered by a Nurse Practitioner or Oral and Maxillofacial Surgeon, the referral must meet the requirements outlined in the Schedule of Benefits.
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