Fee
| Component | Value |
|---|---|
| Provider fee | $19.40 |
Schedule and sources
- Fee edition
- October 1, 2026
- Record effective
- 2025-04-01
- Schedule edition
- July 22, 2026; effective July 1, 2026
- Official files
- Fee masterSchedule PDFOntario source page
- with magnetic resonance spectroscopy and/or fiber tracking, to X421 ........................................................ add 19.40
Passages mentioning E875
MAGNETIC RESONANCE IMAGING (MRI)
P
Head
X421 - multislice sequence ............................................................ 73.35
E875 - with magnetic resonance spectroscopy and/or fiber
tracking, to X421 ........................................................ add 19.40
X425 - repeat (another plane, different pulse sequence - to a
maximum of 2 repeats)....................................................... 36.70
E876 - with magnetic resonance spectroscopy and/or fiber
tracking, to X425 ........................................................ add 9.70
Payment rules:
E875 and E876 are limited to a maximum of one each per patient per day.Fee master record
Master, record 1562. Record Layout PDF, page 1.
E87520250401999999990000019400000000000000000000000000000000000000000000000
Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.
| Field | Raw / scale 10,000 |
|---|---|
| provider | 00000194000 / 19.4 |
| assistant | 00000000000 / 0 |
| specialist | 00000000000 / 0 |
| anaesthetist | 00000000000 / 0 |
| non anaesthetist | 00000000000 / 0 |
Explanation
AI-generated. Unreviewed.
Adds to a head MRI study when magnetic resonance spectroscopy or fiber tracking is done, to X421. It is listed under Magnetic Resonance Imaging, Head.
Watch out for
Limited to a maximum of one each per patient per day, together with E876.
Related codes
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Something off?
Report an issue with E875. Do not include patient names, health details or other personal information.