J811 – Myocardial wall motion studies
OHIP Cardio-Thoracic Surgery Code — NUCLEAR MEDICINE - IN VIVO · Schedule of Benefits
Myocardial wall motion studies is a diagnostic procedure listed in the Nuclear Medicine - IN VIVO section of the Schedule of Benefits. This service has both a technical component and a professional component, which are claimed separately. The claim for the technical component (H fee) is submitted using the fee schedule code with suffix B (i.e., J811B). The claim for the professional component (P fee) is submitted using the fee schedule code with suffix C (i.e., J811C). Note: J811 and/or J812 rendered in conjunction with J813 and/or J814 are insured services payable at nil.
When to Use
- Use J811 for the assessment of myocardial wall motion, specifically when the study is performed as a standalone diagnostic procedure.
- Use J811 when documenting the technical (J811B) and professional (J811C) components separately for nuclear medicine wall motion analysis.
Common Pitfalls
- Submitting J811 or J812 in conjunction with J813 or J814 will result in a nil payment for the entire claim.
- Failing to separate the technical (B suffix) and professional (C suffix) components leads to immediate rejection or underpayment.
Billing Tips
- Ensure the physician claiming the technical component (J811B) maintains comprehensive records of data acquisition and quality assurance to satisfy MOH audit requirements.
Effective: April 1, 2025
B. Nuclear Medicine - IN VIVO
NUCLEAR MEDICINE - IN VIVO
Diagnostic
Nuclear Medicine - IN VIVO
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. The physician must be able to demonstrate the above upon request by the MOH.
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