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J149
J149 – Ultrasonic guidance of biopsy, aspiration, amniocentesis or drainage procedures
OHIP Diagnostic Ultrasound Code — DIAGNOSTIC ULTRASOUND · Schedule of Benefits
Ultrasonic guidance for procedures such as biopsy, aspiration, amniocentesis, or drainage where both the professional and technical components are provided by one physician. This service is comprised of a professional (P) component and a technical (H) component.
Professional Component (P) Specific Elements:
• A. Providing clinical supervision and quality control of all elements of the technical component of the procedure.
• B. Providing ultrasonic guidance for the physician performing the associated procedure.
• C. Where appropriate, post-procedure monitoring, including intervening except where this constitutes a separately billable service.
• D. Discussion with, and providing information and advice to the patient or patient's representative, whether by telephone of otherwise, on matters related to the service.
• E. Providing premises for any aspect(s) of A and D that is(are) performed at a place other than the place in which the procedure is performed.
Technical Component (H) Specific Elements:
• A. Preparing the patient for the procedure.
• B. Assisting at the performance of the procedure.
• C. Making arrangements for follow-up care.
• D. Discussion with, and providing information and advice to the patient or patient's representative, whether by telephone or otherwise, on matters related to the service.
• E. Providing premises, equipment, supplies and personnel for all specific elements of the technical and professional components except for the premises for any aspect(s) of A and D of the professional component that is(are) not performed at the place in which the procedure is performed.
This service also includes the common elements of insured services as outlined in the General Preamble (-).
Referral requiredFrom: Physician, NursePractitioner, Midwife, OralMaxillofacialSurgeon
The physician submitting a claim for the technical component is responsible for the complete quality assurance process for all elements of the technical component of the service, including data acquisition, reporting, and record keeping. The physician must be able to demonstrate the above upon request by the MOH.
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