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X236 – Bone mineral density measurement - two or more sites

OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits

Bone Mineral Density (BMD) measurement by Dual-energy X-ray Absorptiometry (DXA) - by axial technique only. This code is for an additional test due to other risk factors, involving two or more sites.
The service must use the axial technique only.
When more than one site is measured, the sites must include both hip and spine. If measurement of both is not technically feasible (due to prosthesis or deformity), the site measured must consist of either hip or spine.
The service is rendered for the prevention and management of osteoporosis or osteopenia.
Usage limits
Limited to once every 12 months per patient.

Patient risk is defined using the fracture risk assessment tool (FRAX) or equivalent.

High risk: estimated risk > 15%.

Medium risk: estimated risk between 10% and 15%.

Low risk: estimated risk < 10%.

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