What is OHIP billing code J160?

J160 is "Diagnostic ultrasound - Pregnancy - Complete", an OHIP Diagnostic Ultrasound code from the Ontario Schedule of Benefits (Physician Services).

How do I bill J160 to OHIP?

J160 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates J160 claims against the Schedule of Benefits rules before submission.

What codes are related to J160?

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

All codes

J160

J160 – Diagnostic ultrasound - Pregnancy - Complete

OHIP Diagnostic Ultrasound Code — DIAGNOSTIC ULTRASOUND · Schedule of Benefits

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Complete ultrasound for high risk pregnancy or complications of pregnancy. This service is composed of two parts: • Technical Component (H): $48.75 • Professional Component (P): $32.25 The technical component (H) is for the performance of the ultrasound scan itself, and the professional component (P) is for the physician's interpretation and report. According to the General Preamble (), the technical component may be ineligible for payment if rendered to a hospital in-patient or a patient who is subsequently admitted to the hospital within 24 hours for the same condition.

Referral requiredFrom: Physician, NursePractitioner, Midwife

The medical record must document the indication for the ultrasound, such as the high-risk nature of the pregnancy or the specific complication(s) being assessed.

J159 J166 J157 J158 J167 J168 J169

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