What is OHIP billing code X481?

X481 is "MRI guidance of biopsy or lesion ablation, internal organ", an OHIP Magnetic Resonance Imaging (MRI) code from the Ontario Schedule of Benefits (Physician Services).

How do I bill X481 to OHIP?

X481 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates X481 claims against the Schedule of Benefits rules before submission.

What codes are related to X481?

Codes related to X481 in the Schedule of Benefits include X480, X487, X499.

All codes

X481

X481 – MRI guidance of biopsy or lesion ablation, internal organ

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

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MRI guidance of biopsy or lesion ablation, internal organ. This service is for the guidance component of the procedure. Per the note on (), this service is only eligible for payment when a lesion can only be visualized by MRI or the use of another image guidance modality is not technically feasible. Commentary on () indicates that X487 and/or X499, as well as biopsy fee codes specific to the internal organ, may be eligible for payment in addition to X481.

Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon

Medical record must document that the lesion can only be visualized by MRI or that the use of another image guidance modality is not technically feasible to support payment eligibility.

X480 X487 X499

X480 and X481 are only eligible for payment when a lesion can only be visualized by MRI or the use of another image guidance modality is not technically feasible.

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