J476 – Transvaginal sonohysterography - including Echovist contrast media for demonstration of tubal patency
OHIP Cardio-Thoracic Surgery Code — DIAGNOSTIC ULTRASOUND · Schedule of Benefits
Transvaginal sonohysterography including Echovist contrast media for demonstration of tubal patency. This service is divided into a technical component (<feeType>H</feeType>) and a professional component (`<feeType>P</feeType>). Per the rules on , the technical component is claimed with suffix B and the professional component with suffix C. See the Diagnostic and Therapeutic Procedures section for the related procedure G399 (Transvaginal sonohysterography, introduction of catheter with or without injection or contrast media).
When to Use
- Use J476 when performing a formal hysterosalpingo-contrast sonography (HyCoSy) specifically to assess tubal patency using Echovist contrast media.
- Choose J476 over G399 when the procedure specifically involves the demonstration of tubal patency, as G399 is restricted to standard sonohysterography without the tubal patency component.
Common Pitfalls
- Failing to bill both the technical component (suffix B) and the professional component (suffix C) results in incomplete reimbursement for the procedure.
- Billing J476 for patients undergoing infertility workups related to IVF or artificial insemination is a direct violation of Regulation 552 and will lead to claim rejection or recovery.
- Submitting J476 without an explicit referral from a physician or nurse practitioner will result in an automatic rejection.
Billing Tips
- Ensure the claim includes both the technical component (J476B) and the professional component (J476C) to capture the full fee for the procedure.
Effective: April 1, 2025
G. Diagnostic Ultrasound
DIAGNOSTIC ULTRASOUND
Diagnostic
Diagnostic Ultrasound
Female
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