J804B – First Transit - Technical Component
OHIP Cardio-Thoracic Surgery Code — Cardiovascular System · Schedule of Benefits
Technical component of a First Transit cardiovascular nuclear medicine study, performed without blood pool images. The technical component covers the use of the premises, equipment, supplies, and personnel used for the service (, ). The physician submitting the claim is responsible for the complete quality assurance process, including data acquisition, reporting, and record keeping (). Claims for the technical component are submitted using the fee schedule code with suffix B.
When to Use
- Use J804B when you own or lease the nuclear medicine equipment and perform the technical data acquisition for a First Transit study without blood pool imaging.
- Select J804B when billing for the facility and technical overhead of a cardiovascular nuclear medicine scan where the professional interpretation is billed separately under the professional component suffix.
Common Pitfalls
- Billing J804B when blood pool images are included, which would instead require the use of J804C.
- Submitting J804B without maintaining the mandatory quality assurance logs for equipment calibration and data acquisition as required by GP11.
- Attempting to bill J804B in conjunction with J867 for the same patient encounter, which will trigger a rejection for duplicate technical service components.
Billing Tips
- Ensure your claim is submitted with the 'B' suffix to specifically designate the technical component, distinguishing it from the professional interpretation component.
Effective: January 1, 2025
Nuclear Medicine - in Vivo
Cardiovascular System
Diagnostic
Nuclear Medicine - IN VIVO
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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