J313B – Mixed Venous Pco2, by the Rebreathing Method - Technical Component
OHIP Cardio-Thoracic Surgery Code — Diagnostic and Therapeutic Procedures · Schedule of Benefits
This code represents the technical component ('H' Fee) for the measurement of mixed venous by the rebreathing method. The technical component of a diagnostic procedure as described in the relevant section of the Schedule is only eligible for payment where the physician has the necessary training and experience to personally render the technical component of the service and the physician maintains documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards. See for general requirements for technical components.
When to Use
- Use J313B when you are personally performing the technical data acquisition for a rebreathing mixed venous PCO2 study in your own office or facility.
- Bill this code when you own or lease the equipment and are responsible for the quality assurance process, as opposed to using a hospital-based pulmonary function lab.
Common Pitfalls
- Billing J313B without maintaining a formal, written quality assurance log for the equipment, which is a mandatory requirement under GP11.
- Submitting J313B for a test performed by a technician or in a facility where you do not hold direct responsibility for the technical calibration and data acquisition standards.
Billing Tips
- Ensure your billing software correctly appends the 'B' suffix, as J313A represents the professional interpretation component and J313B represents the technical component.
Effective: January 1, 2025
Pulmonary Function Studies
Diagnostic and Therapeutic Procedures
Diagnostic
Pulmonary Function Studies, Diagnostic and Therapeutic Procedures
The physician must have the necessary training and experience to personally render the technical component of the service.
The physician must maintain documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards.
The physician submitting a claim for the technical component is responsible for the complete quality assurance process for all elements of the technical component of the service, including data acquisition, reporting, and record keeping.
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