What is OHIP billing code J716?

J716 is "PET – Neurology", an OHIP Nuclear Medicine - IN VIVO code from the Ontario Schedule of Benefits (Physician Services).

How do I bill J716 to OHIP?

J716 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates J716 claims against the Schedule of Benefits rules before submission.

What codes are related to J716?

Codes related to J716 in the Schedule of Benefits include J714, J715, J717.

All codes

J716

J716 – PET – Neurology

OHIP Nuclear Medicine - IN VIVO Code — NUCLEAR MEDICINE - IN VIVO · Schedule of Benefits

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Positron Emission Tomography (PET) – Neurology. This diagnostic imaging procedure involves the interpretation of PET scans for neurological indications.

The physician must provide a written, signed, and dated interpretive report.

Usage limits

Only one of J714, J715, J716 or J717 is eligible for payment per patient per day.

J714PET – Oncology J715PET – Cardiology, excluding myocardial perfusion J717PET – Infection and/or inflammation, excluding cardiac

PET scanning for all oncologic or suspected oncologic indications must be performed using a combined PET/CT or PET/MR scanner.

Current PET imaging recommendations and lists of approved indications are available at: https://ontariohealth.ca/clinical/pet-scans

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