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X493
X493 – Intermediate spine - multislice sequence
OHIP Magnetic Resonance Imaging (MRI) Code — MAGNETIC RESONANCE IMAGING (MRI) · Schedule of Benefits
Magnetic Resonance Imaging (MRI) of an intermediate spine, defined as two adjoining segments, utilizing a multislice sequence. This is the initial or base scan for this region. This service may be followed by repeat scans using X495 for another plane or a different pulse sequence.
[Commentary from ]: For diagnostic services with both technical and professional components listed under one fee schedule code, the components are claimed separately. The claim for the technical component is submitted using the fee schedule code with suffix B, and the claim for the professional component is submitted using the fee schedule code with suffix C.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
As per , all insured services must be documented in the patient's medical record to 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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