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J202
J202 – Duplex scan - peripheral vessel assessment
OHIP Cardio-Thoracic Surgery Code — DIAGNOSTIC ULTRASOUND · Schedule of Benefits
Peripheral vessel assessment (distal to inguinal ligament or axilla), artery and/or vein evaluation per extremity. The service is a duplex scan, which includes simultaneous real time, B-mode imaging and frequency/spectral analysis. It is performed unilaterally. Per the Schedule, this service is not to be billed routinely with J190.
When to Use
- Use J202 for a comprehensive duplex scan of peripheral arteries or veins located distal to the inguinal ligament or axilla.
- Select J202 when the clinical requirement is a simultaneous real-time B-mode imaging and frequency/spectral analysis of a specific extremity.
Common Pitfalls
- Billing J202 and J193 for the same extremity on the same day will result in a rejection, as they are mutually exclusive per the Schedule.
- Routine co-billing of J202 with J190 is prohibited and will likely trigger an audit or claim rejection.
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
Surgical Assistant Fee$30.10
Anaesthetist Fee$16.60
Non-Anaesthetist Fee$16.60
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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