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X492 – MRI - Limited spine repeat

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

Magnetic Resonance Imaging (MRI) of a limited spine (one segment), representing a repeat scan performed in another plane or with a different pulse sequence. This service follows an initial sequence (X490) and is subject to a maximum of 3 repeats.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
As per , all insured services must be documented in appropriate records to establish that the service was provided, the service claimed is the service rendered, and the service was medically necessary.

repeat (another plane, different pulse sequence - maximum of 3 repeats)

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