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J164
J164 – Follicle monitoring studies
OHIP Diagnostic Ultrasound Code — DIAGNOSTIC ULTRASOUND · Schedule of Benefits
Follicle monitoring studies via ultrasound. According to a note on page , for ovulation induction purposes, J162 and J138 are limited to one per cycle, and any additional ultrasounds may be claimed as J164. A commentary on the same page specifies that ultrasound services are not insured when rendered to support in-vitro fertilization services or artificial insemination services, as per Regulation 552 section 24(1) paragraph 23 and 29 under the Act.
Referral requiredFrom: Physician, NursePractitioner, Midwife, OralMaxillofacialSurgeon
The medical record must establish that an insured service was provided, the service for which the account is submitted is the service that was rendered, and the service was medically necessary.
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