Insight Diagnostic Imaging

Physicians' FAQ

Physicians' FAQ

Q. What are the OHIP guidelines for ordering Bone Mineral Densitometry (BMD) tests?

A. OHIP payment eligibility is limited to services that are "medically necessary to the individual patient’s circumstances, informed by the best available evidence". The Ontario government has added new language to the Schedule of Benefits for Physician Services noting that studies of the lumbar spine should not be routinely ordered or rendered without suspected or known pathology.

According to the Ministry, examples of studies of the lumbar spine with suspected or known pathology may include:

  • infection
  • tumour
  • osteoporosis
  • ankylosing spondylitis
  • fracture
  • inflammatory process
  • radicular syndrome
  • cauda equina syndrome

The ordering physician must demonstrate medical necessity by documenting in the clinical record the reason for the diagnostic study based on clinical circumstances of the patient. The outcome of the study does not determine whether the test was necessary.

For more information, see the MoH bulletin 4563 (June 2012) "Computed Tomography (CT) and/or Magnetic Resonance Imaging (MRI) for Chronic Low Back Pain[PDF]"

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About Us

Since 2004, Insight Diagnostic Imaging has been helping to improve men’s health, women’s health and children’s health by offering exceptional diagnostic medical services. Our radiology clinics are run by highly respected radiologists using the most advanced medical technology and radiology equipment to generate accurate and quick results. We are proud to be among the most respected and well-known radiology clinics in Toronto and Mississauga.