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X425 – MRI - repeat (another plane, different pulse sequence)

OHIP Magnetic Resonance Imaging (MRI) Code — MAGNETIC RESONANCE IMAGING (MRI) · Schedule of Benefits

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This service is for a repeat Magnetic Resonance Imaging (MRI) of the head. It is performed using another plane or a different pulse sequence than the initial scan (X421). This service can be claimed up to a maximum of 2 times. An additional fee (E876) is payable if magnetic resonance spectroscopy is performed concurrently.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
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.
X421E876

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