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X412
X412 – CT Extremities - without IV contrast
OHIP Diagnostic Radiology Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
This service provides for a Computed Tomography (CT) scan of one or more extremities, without the use of intravenous (IV) contrast material. It is listed under the Diagnostic Radiology section of the Schedule of Benefits and is typically performed to diagnose injuries or conditions affecting the limbs.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
All insured services must be documented in appropriate records that establish: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.
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