J840C – Testicular and Scrotal Scintigraphy - Professional Component
OHIP Cardio-Thoracic Surgery Code — Genitourinary System · Schedule of Benefits
The professional component (P) of testicular and scrotal scintigraphy. This service involves the interpretation of the imaging study, including the first transit, and the provision of a written report. Per , the professional component is claimed with suffix C. Special visit premiums may apply for non-elective, urgent interpretations performed in a hospital setting ().
When to Use
- Use J840C to bill the professional interpretation of a testicular scintigraphy scan performed to differentiate testicular torsion from epididymo-orchitis in an emergency setting.
- Claim this code when providing the formal written report for a scrotal scintigraphy study, ensuring the interpretation includes the required first transit analysis.
Common Pitfalls
- Billing J840C without a valid referral from an eligible provider, as this is a diagnostic service requiring a formal request.
- Attempting to bill J840C in addition to other diagnostic professional components for the same patient during the same encounter, which may trigger duplicate service rejections.
- Failing to append the 'C' suffix, which is mandatory for the professional component under GP11.
Billing Tips
- If performing an urgent, non-elective interpretation in a hospital, ensure you attach the appropriate Special Visit Premium (e.g., C110 for nights) to maximize the claim value.
- Always verify that the written report is finalized and dated, as the professional component fee is contingent upon the delivery of this documentation.
Effective: January 1, 2025
Nuclear Medicine - in Vivo
Genitourinary System
Diagnostic
Nuclear Medicine - IN VIVO
All insured services must be documented in appropriate records that establish: 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.
Claimed using suffix C.
Includes first transit.
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