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X148
X148 – Subsequent test - non-high-risk patient - two or more sites
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
Subsequent bone mineral density (BMD) test, two or more sites, for a non-high-risk patient. A "non-high-risk patient" is a patient who does not meet any of the thresholds for osteoporosis pharmacotherapy: T-score ≤ -2.5 at the lumbar spine, femoral neck or total hip; previous hip or spine fracture, or ≥ 2 other fracture events; or estimated 10-year fracture risk ≥ 15% using FRAX or an equivalent major osteoporotic fracture assessment tool. Limited to one test every 60 months following the baseline test (X145/X146) or any subsequent test.
Referral requiredFrom: Physician, NursePractitioner, Midwife, OralMaxillofacialSurgeon
All insured services must be documented in appropriate medical records. The record must establish that an insured service was provided, the service for which the account is submitted is the service that was rendered, and the service was medically necessary.
For the purpose of second and subsequent testing: - 'high risk patient' means a patient: 1. at risk for accelerated bone loss (in the absence of other risk factors, patient age is deemed not to place a patient at high risk for accelerated bone loss); 2. with osteopenia or osteoporosis on any previous BMD testing; or 3. with bone loss in excess of 1% per year as demonstrated by previous BMD testing. - 'low risk patient' means a patient who is not a high risk patient.
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