X493

PDF page 394 / F4

MAGNETIC RESONANCE IMAGING (MRI)
                                                                                                                     P
  Pelvis
X461 - multislice sequence ............................................................                             73.35
X465 - repeat (another plane, different pulse sequence - to a
        maximum of 3 repeats).......................................................                                36.70
  Extremity or joint(s)
X471 - multislice sequence, one extremity and/or one joint...........                                               62.80
X475 - repeat (another plane, different pulse sequence - to a
       maximum of 3 repeats).......................................................                                 31.45
X488 - multislice sequence, two or more extremities, and/or two or
       more joints same extremity ................................................                                108.80
X489 - repeat (another plane, different pulse sequence - to a
       maximum of 3 repeats).......................................................                                 54.35
      Note:
      1. X488 and X489 require imaging of two extremities or two or more joints in the same extremity
         during the same examination at one sitting.
      2. X488 and X489 requires separate surface coil, separate imaging sequence, separate filming
         and separate post-processing for each joint examined.
      3. For the purposes of X471, X475, X488 and X489, the following are considered eligible joints:
         shoulder, elbow, wrist, hip, knee and ankle.
      [Commentary:
      When weight-bearing x-rays demonstrate osteoarthritis and symptoms are suggestive of
      osteoarthritis, knee MRI scans are not recommended by the Canadian Orthopaedic
      Association, the Canadian Arthroplasty Society and the Arthroscopy Association of Canada as
      this investigation rarely adds useful information to guide diagnosis or treatment.https://
      choosingwiselycanada.org/orthopaedics/ ]
  Limited spine (one segment)
X490 - multislice sequence ............................................................                             59.50
X492 - repeat (another plane, different pulse sequence - maximum
        of 3 repeats) .......................................................................                       29.85
  Intermediate spine (2 adjoining segments)
X493 - multislice sequence ............................................................                             68.45
X495 - repeat (another plane, different pulse sequence - maximum
        of 3 repeats) .......................................................................                       34.15
  Complex spine (2 or more non-adjoining segments)
X496 - multislice sequence ............................................................                           101.65
X498 - repeat (another plane, different pulse sequence - maximum
       of 3 repeats) .......................................................................                        50.65

Master, record 6758. Record Layout PDF, page 1.

X49320250401999999990000000000000000000000000000000000000000000000000684500

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.