J102 – Echography - ophthalmic, quantitative, A-mode
OHIP Cardio-Thoracic Surgery Code — DIAGNOSTIC ULTRASOUND · Schedule of Benefits
J102 is a quantitative, A-mode ophthalmic echography service used for diagnostic purposes. It is listed under the Diagnostic Ultrasound section for Head and Neck. The fee is split into a technical component (H-fee) of $22.40, payable only when rendered in a hospital, and a professional component (P-fee) of $28.50. Per , the technical component of a diagnostic procedure is only eligible for payment where the physician has the necessary training and experience and maintains quality assurance documentation. The technical component is not payable for hospital in-patients.
When to Use
- Use J102 for quantitative A-mode axial length measurements required for intraocular lens power calculations prior to cataract surgery.
- Use J102 when performing diagnostic A-mode echography to differentiate between solid and cystic intraocular lesions, distinct from the imaging provided by J103 or J107.
Common Pitfalls
- Billing the technical component (H-fee) for hospital in-patients, which is explicitly prohibited by the Schedule of Benefits.
- Claiming the technical component without maintaining the required quality assurance documentation, which creates significant risk during a Ministry of Health audit.
- Attempting to bill J102 in conjunction with other diagnostic ultrasound codes (e.g., J103) for the same eye on the same day without clear documentation of distinct clinical indications.
Billing Tips
- Ensure the professional component (P-fee) is billed only when you have personally interpreted the A-mode scan and documented the findings in the patient record.
- If performing the service in a hospital setting, confirm whether the hospital facility is claiming the technical component to avoid duplicate billing errors.
Effective: April 1, 2025
G. Diagnostic Ultrasound
DIAGNOSTIC ULTRASOUND
Diagnostic
Diagnostic Ultrasound
The physician has the necessary training and experience to personally render the technical component of the service.
The physician maintains documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards.
This service is composed of a professional component (P-fee) of $28.50 and a technical component (H-fee) of $22.40.
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