J835 – Dynamic renal imaging - includes first transit
OHIP Cardio-Thoracic Surgery Code — NUCLEAR MEDICINE - IN VIVO · Schedule of Benefits
Computer-assessed renal function is a nuclear medicine imaging procedure used to evaluate kidney function. The service, as defined by J835, includes the first transit of the radiopharmaceutical agent. A separate code, J880, is used for a repeat study performed after pharmacological intervention. The Schedule of Benefits lists a technical component (H) fee of $131.70 and a professional component (P) fee of $57.80 for this service (see ).
When to Use
- Use J835 for the initial dynamic renal scan including first transit assessment of renal perfusion and function.
- Select J835 when performing a baseline renal study, reserving J880 specifically for subsequent studies performed after pharmacological intervention (e.g., ACE inhibitor challenge).
Common Pitfalls
- Claiming the technical component (J835B) for hospital inpatients or patients admitted within 24 hours of the service, which triggers an automatic rejection.
- Failing to split the claim into the technical (J835B) and professional (J835C) components, as submitting a single claim for the total fee will result in processing errors.
Billing Tips
- Always append the correct suffix to the code: use J835B for the technical component and J835C for the professional component to ensure proper payment processing.
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 this upon request by the MOH. See .
This service is comprised of a professional (P) and technical (H) component. For diagnostic services with both components listed under one fee code, they are claimed separately. The claim for the technical component is submitted using the fee schedule code with the suffix B and the claim for the professional component is submitted using the fee schedule code with a suffix C. See .
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