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J189

J189Transcranial doppler assessment of intracranial circulation

OHIP Cardio-Thoracic Surgery Code — DIAGNOSTIC ULTRASOUND · Schedule of Benefits

The professional component (P fee) for a transcranial Doppler assessment of the intracranial circulation. The technical component (H fee) is not payable under this fee code. As per , the professional component is payable to the physician for their expertise in interpreting and reporting on the diagnostic service.

When to Use

  • Use J189 when performing the professional interpretation of a transcranial Doppler study for intracranial circulation assessment.
  • Use this code specifically when the technical component is performed elsewhere or billed under a facility fee, as J189 covers only the professional interpretation.

Common Pitfalls

  • Billing J189 on the same day as J186, J187, or J188 will result in an automatic rejection due to the restricted code policy.
  • Attempting to bill the technical component (H fee) alongside J189 will lead to audit scrutiny, as the code is strictly for the professional component.

Billing Tips

  • Ensure the referral source is documented as a physician, nurse practitioner, or oral maxillofacial surgeon to satisfy the mandatory referral requirement.
Provider Fee$0.00
Anaesthetist Fee$23.65
Non-Anaesthetist Fee$23.65

Effective: April 1, 2025

Category

G. Diagnostic Ultrasound

Subcategory

DIAGNOSTIC ULTRASOUND

Service Type

Diagnostic

Code Classes

Diagnostic Ultrasound

Referral RequiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon

Payment rules: 1. J189 is not eligible for payment with J186, J187 or J188 same patient same day. 2. Only one of J186, J187 or J188 are payable same patient, same physician, same day.

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