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J809

J809Application of SPECT

OHIP Cardio-Thoracic Surgery Code — NUCLEAR MEDICINE - IN VIVO · Schedule of Benefits

This service is an add-on for the application of Single Photon Emission Computed Tomography (SPECT) to myocardial perfusion scintigraphy codes J807 or J808. It is limited to a maximum of 1 service with J807 per examination and a maximum of 2 services with J808 per examination.

When to Use

  • Use J809 as an add-on when performing SPECT imaging in conjunction with a resting or immediate post-stress myocardial perfusion study (J807).
  • Use J809 when performing SPECT imaging during the delayed phase of a myocardial perfusion study (J808), up to a maximum of two units.

Common Pitfalls

  • Billing J809 without an associated J807 or J808 claim on the same service date will result in an automatic rejection.
  • Exceeding the maximum limit of one unit for J807 or two units for J808 will trigger a claim rejection for the excess units.

Billing Tips

  • Ensure the total number of J809 units billed matches the specific requirements of the primary myocardial perfusion code used (J807 or J808) to avoid audit flags.
Provider Fee$0.00
Surgical Assistant Fee$45.95
Non-Anaesthetist Fee$23.65

Effective: April 1, 2025

Category

B. Nuclear Medicine - IN VIVO

Subcategory

NUCLEAR MEDICINE - IN VIVO

Service Type

Diagnostic

Code Classes

Nuclear Medicine - IN VIVO

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