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J827 – Oesophageal motility studies

OHIP Nuclear Medicine - IN VIVO Code — NUCLEAR MEDICINE - IN VIVO · Schedule of Benefits

This service, "Oesophageal motility studies - one or more", is a diagnostic test within the Gastrointestinal System sub-category of Nuclear Medicine. It is used to evaluate the movement and function of the oesophagus. The fee is split into a technical component ('H' fee of $118.90) and a professional component ('P' fee of $40.30), which are billed separately using suffixes B and C, respectively, as per of the Schedule of Benefits. The "one or more" designation indicates that the fee covers all studies performed in a single session.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
All insured services must be documented in appropriate records. The Act requires that the record establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary. The medical record requirements as found in the Act are listed in Appendix G of the Schedule.
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 this upon request by the MOH.

one or more

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