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J327 – Repeat after bronchodilator

OHIP Pulmonary Function Studies Code — PULMONARY FUNCTION STUDIES · Schedule of Benefits

A repeat flow volume loop (volume versus flow) study performed after the administration of a bronchodilator. This service is a repeat of J304 following bronchodilator administration. The study generates an expiratory limb, and an inspiratory limb if indicated. The flow volume loop may include derivation of , VC, , and . The technical component (J327B) of this service rendered in a hospital is payable at 94.68% of the listed T fee. For full requirements, see the CPSO Clinical Practice Parameters and Facility Standards for Diagnostic Spirometry and Flow Volume Loop Studies.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
Must represent the best of three recorded test results.
A permanent record must be kept that includes a written interpretation by the physician. A computer or automated interpretation in the absence of a documented physician interpretation is not sufficient.
The permanent record must include constituent graph(s), tracing(s) and measurements with a scale on the tracing or graph of: i. at least 5 mm per litre per second for flow; and ii. 10 mm per litre for volume.
The physician claiming the professional component (J327C) must be able to demonstrate appropriate training in pulmonary function testing interpretation and be prepared to provide documentation of this training to the ministry upon request.

J301 or J324 are not eligible for payment same patient same day as J304 or J327.

J304 and J327 must represent the best of three recorded test results or the study is not eligible for payment.

J304 and J327 are only eligible for payment for a study that meets all of the following requirements: a. There is a permanent record that includes a written interpretation by the physician; b. The permanent record includes constituent graph(s), tracing(s) and measurements with a scale on the tracing or graph of: i. at least 5 mm per litre per second for flow; and ii. 10 mm per litre for volume. c. The technical component of the study complies with the CPSO Clinical Practice Parameters and Facility Standards for Diagnostic Spirometry and Flow Volume Loop Studies; and d. The physician claiming the professional component must be able to demonstrate appropriate training in pulmonary function testing interpretation.

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