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X402
X402 – Complex head CT without IV contrast
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
A complex computed tomography (CT) scan of the head, performed without intravenous contrast. The definition of 'Complex head' is detailed in the Diagnostic Radiology Preamble, paragraph 9.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
All insured services must be documented in the medical record to establish that an insured service was provided, the service claimed is the service rendered, and the service was medically necessary as per .
The criteria for a 'Complex head' CT must be met, as defined in the Diagnostic Radiology Preamble, paragraph 9.
Complex head (see Diagnostic Radiology Preamble, paragraph 9).
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