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X490
X490 – Limited spine - multislice sequence
OHIP Magnetic Resonance Imaging (MRI) Code — MAGNETIC RESONANCE IMAGING (MRI) · Schedule of Benefits
X490 represents a multislice sequence Magnetic Resonance Imaging (MRI) procedure for a limited (one segment) area of the spine. For additional imaging of the same area in a different plane or with a different pulse sequence, see X492. This service may be eligible for premiums such as X486 for cardiac gating or X487 for the use of gadolinium.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
All insured services must be documented in appropriate records. The Act requires that the record establish that:
1. an insured service was provided;
2. the service for which the account is submitted is the service that was rendered; and
3. the service was medically necessary.
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