X445

PDF page 392 / F2

Neck
               X431 - multislice sequence ............................................................                       73.35
               X435 - repeat (another plane, different pulse sequence - to a
                      maximum of 3 repeats).......................................................                           36.70
                 Thorax
               X441 - multislice sequence ............................................................                       73.35
               X445 - repeat (another plane, different pulse sequence - to a
                      maximum of 3 repeats).......................................................                           36.70
                 Abdomen
               X451 - multislice sequence ............................................................ 73.35
               X455 - repeat (another plane, different pulse sequence - to a
                       maximum of 3 repeats).......................................................    36.70
               X458 - Magnetic resonance elastography (MRE) for quantification
                       of fat and/or iron deposition in the liver ..............................       36.70
                   Payment rules:
                   X451/X455 are not eligible for payment when used as guidance for organ biopsy.

PDF page 393 / F3

MAGNETIC RESONANCE IMAGING (MRI)
                                                                                      P
         2. X441/X445 thorax MRI is not eligible for payment same day, same physician as X446/X447.

Master, record 6736. Record Layout PDF, page 1.

X44520250401999999990000000000000000000000000000000000000000000000000367000

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.