All codes
J166
J166 – Multiple gestation, for each additional fetus
OHIP Diagnostic Ultrasound Code — DIAGNOSTIC ULTRASOUND · Schedule of Benefits
This code is for an ultrasound service for a high-risk or complicated multiple gestation pregnancy and is payable as an add-on to J160 for each additional fetus. This diagnostic procedure includes both a technical component (H-fee) and a professional component (P-fee). The service includes all common and specific elements of a diagnostic procedure 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.
The physician must maintain documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards.
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