J830 – Abdominal scintigraphy - 99m Tc sulphur colloid or pertechnetate Tc
OHIP Cardio-Thoracic Surgery Code — NUCLEAR MEDICINE - IN VIVO · Schedule of Benefits
Abdominal scintigraphy for the detection of gastrointestinal bleeding using Technetium-99m sulphur colloid or pertechnetate (Tc⁰⁴). This is a nuclear medicine imaging test. The service fee is divided into a technical component (H) and a professional component (P). As per the Schedule of Benefits, the fees are H: 87.00 and P: 40.30. As per , the claim for the technical component is submitted with a 'B' suffix and the professional component with a 'C' suffix.
When to Use
- Use J830 when performing abdominal scintigraphy specifically for the localization of active gastrointestinal bleeding using Technetium-99m sulphur colloid or pertechnetate.
- Select J830 for nuclear medicine imaging when the clinical suspicion of an active bleed is high and requires rapid, real-time visualization, distinguishing it from J878 or J879 which are used for different scintigraphic indications.
Common Pitfalls
- Failure to split the claim into two separate submissions using the 'B' suffix for the technical component (H) and the 'C' suffix for the professional component (P) will result in automatic rejection.
- Billing J830 without maintaining the mandatory quality assurance documentation for the technical component as required by GP11 creates a significant audit risk during a Ministry review.
- Attempting to bill J830 for non-urgent or elective scenarios will disqualify the claim from being eligible for any associated special visit premiums (C102-C110).
Billing Tips
- Always verify that the referral source is an authorized provider (Physician, Nurse Practitioner, or Oral Maxillofacial Surgeon) to ensure compliance with GP16 and GP111 requirements.
- When providing urgent, non-elective services in a hospital setting, ensure you select the correct special visit premium (C102-C110) based on the specific time of day and patient status, as these are mutually exclusive.
Effective: April 1, 2025
B. Nuclear Medicine - IN VIVO
NUCLEAR MEDICINE - IN VIVO
Diagnostic
Nuclear Medicine - IN VIVO
For the technical component, the physician must maintain documentation describing the process for monitoring quality assurance in accordance with professional standards.
This service is for abdominal scintigraphy for gastrointestinal bleed using Tc99m sulphur colloid or Tc⁰⁴.
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