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J832

J832Liver/spleen scintigraphy

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

Represents the professional component (P-fee) for Liver/spleen scintigraphy, a diagnostic procedure listed in the Nuclear Medicine - IN VIVO section. The P-fee covers the physician's work in interpreting the study and providing a report. Per , the professional component is claimed separately from the technical component using the base fee code with suffix 'C'.

When to Use

  • Use J832C when interpreting a liver/spleen scintigraphy scan to evaluate focal nodular hyperplasia or suspected hepatic hemangioma.
  • Use J832C for the professional interpretation of a colloid liver-spleen scan performed for the assessment of splenic function or suspected accessory spleen.

Common Pitfalls

  • Submitting the claim as J832 instead of J832C will result in an automatic rejection, as the 'C' suffix is mandatory for the professional component.
  • Billing J832C without a corresponding technical component (H-fee) claim from the facility will trigger an audit flag for incomplete diagnostic service reporting.
  • Attempting to bill an office visit code (e.g., A007) on the same day as J832C is often rejected unless the visit is for a separate, unrelated clinical issue.

Billing Tips

  • Ensure the referring physician's name and billing number are included in the claim to satisfy the mandatory referral requirement for diagnostic services.
Provider Fee$0.00
Surgical Assistant Fee$84.60
Non-Anaesthetist Fee$40.30

Effective: April 1, 2025

Category

B. Nuclear Medicine - IN VIVO

Subcategory

NUCLEAR MEDICINE - IN VIVO

Service Type

Diagnostic

Code Classes

Nuclear Medicine - IN VIVO

Referral RequiredFrom: Physician, OralMaxillofacialSurgeon

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