What is OHIP billing code J804?

J804 is "First transit - without blood pool images", an OHIP Cardio-Thoracic Surgery code from the Ontario Schedule of Benefits (Physician Services).

How much does J804 pay?

The current OHIP fee for J804 is $0.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill J804 to OHIP?

J804 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates J804 claims against the Schedule of Benefits rules before submission.

What codes are related to J804?

Codes related to J804 in the Schedule of Benefits include J867, J806.

All codes

J804

J804 – First transit - without blood pool images

OHIP Cardio-Thoracic Surgery Code · Schedule of Benefits

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A nuclear medicine diagnostic procedure for the cardiovascular system involving first transit imaging without blood pool images.

When to Use

Use J804 when performing a first-pass radionuclide angiocardiography to assess cardiac function or shunt detection without the acquisition of subsequent blood pool images.
Use J804 as a supplementary code when performing a blood pool study in conjunction with bone scintigraphy (J850 or J851) to assess localized vascularity.

Common Pitfalls

Billing J804 alongside any SPECT code is prohibited; the system will reject the claim due to the inherent incompatibility of these imaging modalities.
Attempting to bill the technical component for an inpatient or a patient admitted within 24 hours of the procedure will result in a rejection, as J804 is restricted to outpatient settings.
Claiming the 30% data manipulation add-on for simple image processing like smoothing or background subtraction is a frequent audit trigger; it is only payable for advanced quantification providing unique diagnostic data.

Billing Tips

If performing advanced quantification that provides significant diagnostic information beyond visual inspection, ensure the claim includes the 30% add-on, provided no SPECT imaging was performed.
When J804 is used for a blood pool study alongside J850 or J851, ensure the clinical documentation clearly justifies the necessity of the vascular assessment to support the dual billing.

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Provider Fee$0.00

Surgical Assistant Fee$18.70

Non-Anaesthetist Fee$18.85

Effective: April 1, 2026

Service Type

Nuclear Medicine - IN VIVO

Code Classes

Diagnostic

J867First transit - with blood pool images J806Cardioangiography - first pass for shunt detection, cardiac output and transit studies

Interpretation of a CT scan performed as a component of the examination (e.g., SPECT/CT) is not eligible for payment.

Not eligible for payment for routine preoperative screening of a patient for low-risk surgery unless there is a specific clinical indication.