What is OHIP billing code J190?

J190 is "Extra-cranial vessel assessment - doppler scan or B scan", an OHIP Cardio-Thoracic Surgery code from the Ontario Schedule of Benefits (Physician Services).

How much does J190 pay?

The current OHIP fee for J190 is $0.00, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill J190 to OHIP?

J190 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates J190 claims against the Schedule of Benefits rules before submission.

What codes are related to J190?

Codes related to J190 in the Schedule of Benefits include J201, J193, J202.

All codes

J190

J190 – Extra-cranial vessel assessment - doppler scan or B scan

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

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Extra-cranial vessel assessment - above the aortic arch for bilateral carotid and/or subclavian and/or vertebral arteries only. The service is a doppler scan or B scan and includes frequency/spectral analysis, if rendered. This service has both a professional component (P fee) and a technical component (H fee), which are claimed separately.

When to Use

Use J190 for bilateral carotid artery assessment to evaluate stenosis or plaque morphology in patients with symptomatic carotid bruits or transient ischemic attacks.
Use J190 for assessing subclavian or vertebral artery flow when investigating subclavian steal syndrome or vertebrobasilar insufficiency.
Use J190 as the primary diagnostic choice for extra-cranial vessel imaging when J201 is not indicated or has already been utilized for a different anatomical focus.

Common Pitfalls

Billing J190 on the same day as J201 will trigger an automatic rejection, as these codes are mutually exclusive per patient per day.
Submitting J190 without the correct suffix (B for technical component, C for professional component) will result in payment failure or incorrect processing.
Routine co-billing of J190 with peripheral vessel assessments like J193 or J202 is flagged for audit; ensure clinical necessity is documented if both are performed.

Billing Tips

Always split your claim into two distinct submissions: one for the technical component (J190B) and one for the professional component (J190C) to ensure full reimbursement.
Verify that the referral source is documented as per GP5:19 or GP111:125, as J190 strictly requires a valid referral to be eligible for payment.

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Provider Fee$0.00

Surgical Assistant Fee$45.05

Anaesthetist Fee$17.10

Non-Anaesthetist Fee$17.10

Effective: April 1, 2025

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