J180 – Scan B-mode
OHIP Cardio-Thoracic Surgery Code — DIAGNOSTIC ULTRASOUND · Schedule of Benefits
This represents the technical component ('H' fee) of the J180 service. It includes providing premises, equipment, supplies, and personnel for performing the B-mode ultrasound scan used for placing radiation therapy fields. See for payment rules regarding the technical component.
When to Use
- Use J180H when you provide the facility, ultrasound equipment, and technical staff to perform a B-mode scan specifically for radiation therapy field localization.
- Submit this code when you are the facility owner or operator claiming the technical component separately from the professional interpretation fee (J180A).
Common Pitfalls
- Submitting J180 without the 'H' suffix will result in a rejection or incorrect payment, as the system requires the suffix to identify the technical component.
- Failing to maintain documented quality assurance records for the ultrasound equipment as mandated by GP11 is a primary cause for clawbacks during OHIP audits.
- Billing J180H in conjunction with a standard diagnostic ultrasound code like J100 is inappropriate, as J180 is strictly for radiation therapy field placement.
Billing Tips
- Ensure your claim for the professional component (J180A) and the technical component (J180H) are submitted as distinct line items to avoid processing errors.
Effective: April 1, 2025
G. Diagnostic Ultrasound
DIAGNOSTIC ULTRASOUND
Diagnostic
Diagnostic Ultrasound
The physician submitting a claim for the technical component must maintain documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards.
The fee for the technical component (H) is $35.15.
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