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X204
X204 – Thoracic spine - three or more views
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
Diagnostic radiology of the thoracic spine consisting of three or more views.
The professional component (Suffix C) requires the physician to personally perform the interpretation of the results.
A written, signed, and dated interpretive report must be prepared and transmitted to the referring provider.
Usage limits
X-ray studies of the spine should not be routinely ordered or rendered for low back pain without suspected or known pathology (e.g., infection, tumour, osteoporosis, fracture, radicular syndrome).
Conventional films of the spine should not be routinely done and claimed for before myelography.
Abdomen and/or pelvis should not be routinely claimed in lumbar spine examination requests.
If insured diagnostic radiology procedures yield abnormal findings or if they would yield information which in the opinion of the radiologist would be insufficient governed by the needs of the patient and the requirements of the referring provider or practitioner, the radiologist may add further views and claim for them (if listed).
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