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X417
X417 – Three dimensional CT acquisition sequencing
OHIP Laboratory Code — DIAGNOSTIC RADIOLOGY · Schedule of Benefits
Three dimensional CT acquisition sequencing, including post-processing (minimum of 60 slices; maximum 1 scan per patient per day).
When to Use
- Use X417 when performing 3D CT acquisition and post-processing that meets the mandatory 60-slice threshold, distinguishing it from standard 2D acquisitions billed under codes like X412 or X413.
- Use this code for complex diagnostic imaging requiring volumetric reconstruction where the clinical documentation explicitly confirms the acquisition of at least 60 slices.
Common Pitfalls
- Billing X417 when the acquisition fails to meet the 60-slice minimum requirement, which is a common trigger for audit recovery.
- Attempting to bill X417 more than once per patient per day, as the system strictly enforces a maximum of one claim per day regardless of clinical complexity.
Billing Tips
- Ensure the post-processing documentation is clearly linked to the 60-slice acquisition to support the professional component fee, as X417 covers both the acquisition and the reconstruction.
Provider Fee$0.00
Anaesthetist Fee$32.70
Non-Anaesthetist Fee$32.70
Effective: April 1, 2025
Category
D. Diagnostic Radiology
Subcategory
DIAGNOSTIC RADIOLOGY
Service Type
Diagnostic
Code Classes
Diagnostic Radiology
Referral RequiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
Minimum of 60 slices must be acquired.
The medical record must establish that an insured service was provided, the service for which the account is submitted is the service that was rendered, and the service was medically necessary.
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