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J189
J189 – Transcranial 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
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