All codes
J840
J840 – Testicular and scrotal scintigraphy
OHIP Cardio-Thoracic Surgery Code · Schedule of Benefits
Testicular and scrotal scintigraphy - includes first transit
When to Use
- Use J840 for the evaluation of acute scrotal pain when testicular torsion is suspected and clinical findings are equivocal.
- Use this code when assessing for testicular viability or ischemia in cases of trauma where physical examination is limited by swelling.
Common Pitfalls
- Billing the technical component (suffix B) for patients who are admitted as in-patients or admitted within 24 hours of the service, which is a direct violation of OHIP policy.
- Attempting to claim the Y-prefix add-on for SPECT imaging; this is explicitly prohibited for this code as per the billing interactions.
- Submitting the technical component (suffix B) for services performed outside of a hospital setting, as only the professional component (suffix C) is eligible in those environments.
Billing Tips
- Ensure the claim is split correctly using suffix B for the technical component and suffix C for the professional component to avoid automatic rejection.
- If performing quantification or data manipulation that provides significant diagnostic information beyond visual inspection, append the Y-prefix to the professional component (suffix C) to increase the benefit by 30%.
Provider Fee$0.00
Surgical Assistant Fee$95.70
Non-Anaesthetist Fee$45.95
Effective: April 1, 2026
Service Type
Nuclear Medicine - IN VIVO
Code Classes
Diagnostic
For services rendered outside a hospital setting, only the professional component (suffix C) is billable under the Health Insurance Act.
Technical component requirements include the physician having necessary training and maintaining quality assurance documentation.
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