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X188 – CT head - with and without IV contrast

OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits

This service provides for a Computed Tomography (CT) scan of the head, which includes two separate scanning sequences: one performed before the administration of intravenous (IV) contrast material, and a second sequence performed after IV contrast has been administered. This dual-scan approach allows for a comprehensive assessment by comparing pre- and post-contrast images.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
All insured services must be documented in the patient's medical record, establishing that the service was provided, is the service for which the account is submitted, and was medically necessary. Refer to () for general requirements.

Commentary regarding the add-on code E874: When a CT perfusion study is performed only with a non-contrast CT head scan, claim E874 and the non-contrast CT head service (e.g., X400, X402). The commentary notes it would not be appropriate to claim E874 with a contrast-enhanced only CT head service (e.g., X401, X405).

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