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J851
J851 – Bone scintigraphy - single site
OHIP Nuclear Medicine - IN VIVO Code — NUCLEAR MEDICINE - IN VIVO · Schedule of Benefits
J851 represents a bone scintigraphy, or bone scan, of a single site. This is a nuclear medicine diagnostic procedure.
Billing Components:
This service has two distinct components as indicated in the Schedule of Benefits:
• H (Technical) Component: Covers the cost of equipment, supplies, and technical staff.
• P (Professional) Component: Covers the physician's service of interpreting the scan and providing a report.
As per of the Schedule, the technical and professional components of diagnostic services are claimed separately. The claim for the technical component is submitted using the fee code with suffix 'B' (e.g., J851B), and the claim for the professional component uses suffix 'C' (e.g., J851C).
**Payment Rules from Target Page :**
• J850 (general survey) and J851 (single site) are not to be billed together.
• J804 (blood pool study) may be claimed in addition to J850 or J851.
Referral requiredFrom: Physician, OralMaxillofacialSurgeon
When claiming the technical component, the physician must have the necessary training and experience to personally render the technical component of the service.
When claiming the technical component, the physician must maintain documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards.
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.
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