What is OHIP billing code J159?

J159 is "Diagnostic ultrasound - pregnancy - complete - on or after 16 weeks gestation", an OHIP Diagnostic Ultrasound code from the Ontario Schedule of Benefits (Physician Services).

How do I bill J159 to OHIP?

J159 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates J159 claims against the Schedule of Benefits rules before submission.

What codes are related to J159?

Codes related to J159 in the Schedule of Benefits include J160, J166, J157, J158, J167, J168, J169.

All codes

J159

J159 – Diagnostic ultrasound - pregnancy - complete - on or after 16 weeks gestation

OHIP Diagnostic Ultrasound Code — DIAGNOSTIC ULTRASOUND · Schedule of Benefits

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A complete pregnancy ultrasound performed on or after 16 weeks of gestation. This service is intended for a normal pregnancy. The service has separate fee components: a technical component (H) and a professional component (P). Per , the technical component is claimed with suffix B and the professional component is claimed with suffix C. Payment Rule: As per , ultrasound services listed under the headings 'Abdomen and Retroperitoneum' or 'Pelvis' or 'Pregnancy' (including J159) rendered on the same day to the same patient by any physician as J168 are not eligible for payment.

Referral requiredFrom: Physician, NursePractitioner, Midwife, OralMaxillofacialSurgeon

J160 J166 J157 J158 J167 J168 J169

This service has two components: a technical component (H fee: $48.75) and a professional component (P fee: $33.80).

The technical component is claimed using J159B and the professional component is claimed using J159C.

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