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X489 – MRI - repeat sequence for multiple extremities or joints

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

Repeat Magnetic Resonance Imaging (MRI) for two or more extremities, and/or two or more joints on the same extremity, performed during the same session as the initial multislice sequence scan (X488). This repeat scan utilizes a different plane or pulse sequence. Up to 3 repeats are allowed per session. Specific requirements include separate surface coil, imaging sequence, filming, and post-processing for each joint examined. Eligible joints include the shoulder, elbow, wrist, hip, knee, and ankle.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
Requires separate surface coil, separate imaging sequence, separate filming and separate post-processing for each joint examined.
Usage limits
Maximum of 3 repeats (another plane, different pulse sequence) with X488, in the same examination at one sitting.

X488 and X489 require imaging of two extremities or two or more joints in the same extremity during the same examination at one sitting.

X488 and X489 requires separate surface coil, separate imaging sequence, separate filming and separate post-processing for each joint examined.

For the purposes of X471, X475, X488 and X489, the following are considered eligible joints: shoulder, elbow, wrist, hip, knee and ankle.

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