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J197
J197 – Penile pressure recordings - two or more pressures
OHIP Diagnostic Ultrasound Code — DIAGNOSTIC ULTRASOUND · Schedule of Benefits
J197 is a vascular laboratory service for penile pressure recordings, requiring two or more pressure measurements. This entry represents the professional component (P) of the service, with a fee of $7.80. A claim for the professional component is submitted using this fee schedule code with a suffix C (i.e., J197C), as per instructions on . The technical component (H) is billed separately.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
The physician submitting a claim for the professional component is responsible for the complete quality assurance process for all elements of the service.
All insured services must be documented in appropriate records to establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.
Sex
Male
This service has a separate technical component (H fee) which must be claimed separately, typically by the facility. As per , the technical component of a diagnostic service rendered outside of a hospital is not an insured service.
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