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X487
X487 – MRI with gadolinium
OHIP Laboratory Code — MAGNETIC RESONANCE IMAGING (MRI) · Schedule of Benefits
This fee is payable in addition to the primary MRI procedure when gadolinium contrast material is medically necessary and used. This fee compensates for the supply and administration of the contrast agent.
When to Use
- Use X487 in conjunction with a primary MRI scan (e.g., X461 or X471) when clinical protocols mandate gadolinium enhancement for lesion characterization or vascular imaging.
- Apply this code specifically when the contrast agent is administered during the scan to improve diagnostic sensitivity for suspected inflammatory or neoplastic processes.
Common Pitfalls
- Billing X487 without an associated primary MRI fee code on the same claim will result in an automatic rejection.
- Submitting X487 for non-contrast MRI studies or when the contrast agent is not documented as administered will trigger audit flags for inappropriate billing.
Billing Tips
- Ensure the medical necessity for the contrast agent is clearly stated in the requisition to support the addition of X487 to the primary procedure code.
Provider Fee$0.00
Non-Anaesthetist Fee$36.65
Effective: April 1, 2025
Category
F. Magnetic Resonance Imaging (MRI)
Subcategory
MAGNETIC RESONANCE IMAGING (MRI)
Service Type
Premium
Code Classes
Magnetic Resonance Imaging (MRI)
Referral RequiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
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