J834 – Dynamic renal imaging
OHIP Cardio-Thoracic Surgery Code — NUCLEAR MEDICINE - IN VIVO · Schedule of Benefits
J834 is a nuclear medicine diagnostic procedure for dynamic renal imaging. This service is listed under the Genitourinary System subsection. It is comprised of a professional component (P fee) and a technical component (H fee). According to the Schedule of Benefits (see ), these components are claimed separately, typically using suffix C for the professional component and suffix B for the technical component. The technical component involves the equipment, supplies, and technical personnel, while the professional component covers the physician's interpretation and report.`
When to Use
- Use J834 for dynamic renal scintigraphy (e.g., MAG3 or DTPA renogram) to assess differential renal function and drainage in patients with suspected obstruction.
- Select J834 over J835 when the clinical requirement is a dynamic functional study rather than static renal cortical imaging.
Common Pitfalls
- Failing to submit the professional component with suffix C and the technical component with suffix B results in immediate claim rejection.
- Billing J834 without a valid referral from a physician, nurse practitioner, or oral maxillofacial surgeon is a common audit trigger.
- Attempting to bill J834 alongside other special visit premiums for the same patient encounter is prohibited under the Schedule of Benefits.
Billing Tips
- Ensure the technical component claim includes documentation of quality assurance for data acquisition, as this is a mandatory requirement for MOH compliance.
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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