J814 – Myocardial wall motion - repeat same day
OHIP Cardio-Thoracic Surgery Code — NUCLEAR MEDICINE - IN VIVO · Schedule of Benefits
Performs a repeat myocardial wall motion study with ejection fraction on the same day. This procedure is typically performed following an initial J813 study to assess changes in heart muscle function under different conditions or after an intervention. This service has a professional component (P fee) and a technical component (H fee), which must be billed separately using suffixes C and B, respectively. Refer to for detailed rules on billing technical and professional components. The note on states that J811 and/or J812 rendered in conjunction with J813 and/or J814 are insured services payable at nil.
When to Use
- Use J814 when performing a repeat myocardial wall motion study on the same day as an initial J813 study to assess the heart's response to a pharmacological intervention or stress test.
- Use this code for serial monitoring of ejection fraction within the same day when clinical status changes necessitate immediate re-evaluation post-initial J813 imaging.
Common Pitfalls
- Failing to bill the professional component with suffix C and the technical component with suffix B, which will result in incomplete payment or rejection.
- Attempting to bill J811 or J812 alongside J814, which are explicitly listed as payable at nil when rendered in conjunction with this code.
- Exceeding the maximum limit of three repeats per day, which will trigger automated claim rejection.
Billing Tips
- Ensure the technical (B) and professional (C) components are submitted as separate line items to comply with the mandatory split-billing requirement for this service.
- Always verify that the primary J813 study is documented and billed to support the medical necessity of the repeat J814 study.
Effective: April 1, 2025
B. Nuclear Medicine - IN VIVO
NUCLEAR MEDICINE - IN VIVO
Diagnostic
Nuclear Medicine - IN VIVO
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