What is OHIP billing code J847?

J847 is "Ferrokinetics - clearance, turnover, and utilization", an OHIP Cardio-Thoracic Surgery code from the Ontario Schedule of Benefits (Physician Services).

How much does J847 pay?

The current OHIP fee for J847 is $0.00, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill J847 to OHIP?

J847 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates J847 claims against the Schedule of Benefits rules before submission.

All codes

J847

J847 – Ferrokinetics - clearance, turnover, and utilization

OHIP Cardio-Thoracic Surgery Code — NUCLEAR MEDICINE - IN VIVO · Schedule of Benefits

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J847 is an in vivo nuclear medicine diagnostic service for ferrokinetics, which measures iron clearance, turnover, and utilization. As per the Schedule of Benefits, this service has two components: a technical component (H-fee) for $400.95 and a professional component (P-fee) for $26.50. The technical component (H-fee) is for the performance of the scan itself, and the professional component (P-fee) is for the physician's interpretation and report.

When to Use

Use J847 when performing quantitative assessment of iron kinetics, such as evaluating refractory anemias or suspected iron overload states where standard serum markers are insufficient.
Use J847 for patients requiring investigation of ineffective erythropoiesis or suspected bone marrow iron utilization defects.

Common Pitfalls

Billing the technical component (H-fee) for hospital in-patients, which is strictly prohibited under GP11 rules.
Failing to account for the 24-hour rule: if the patient is admitted to the hospital within 24 hours of the diagnostic service for the same condition, the technical component (H-fee) is ineligible for payment.
Attempting to bill the technical component (H-fee) when the service is performed within a hospital setting for an out-patient who is subsequently admitted for the same condition.

Billing Tips

Ensure the professional component (P-fee) is billed separately for the interpretation and report, as this remains payable regardless of the patient's in-patient status.
When providing urgent, non-elective services in a hospital setting after hours, ensure you select the correct special visit premium (C109, C108, or C110) based on the time of day and patient status, as these are compatible with the professional component.

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Provider Fee$0.00

Surgical Assistant Fee$423.50

Non-Anaesthetist Fee$26.50

Effective: April 1, 2025

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