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J837 – ERPF by blood sample method

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

A nuclear medicine procedure to determine the Effective Renal Plasma Flow (ERPF) using a blood sample method, as described in the Genitourinary System subsection of the Nuclear Medicine - In Vivo section of the Schedule of Benefits. The amount payable for the technical component (H) is $40.15 and for the professional component (P) is $10.35.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
All insured services must be documented in appropriate records establishing 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 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.
The physician must maintain documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards.

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