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J860 – Ventilation and perfusion (V/Q) scintigraphy - same day

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

Perfusion and ventilation scintigraphy performed on the same day. This is a diagnostic nuclear medicine procedure that combines a ventilation scan (e.g., J887) and a perfusion scan (e.g., J859) to evaluate airflow and blood flow to the lungs. It is claimed as a single service when both components are performed on the same day. The service has separate professional ('P' fee) and technical ('H' fee) components.
Referral requiredFrom: Physician, OralMaxillofacialSurgeon
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 this upon request by the MOH.
The technical component of a diagnostic procedure is only eligible for payment where the physician has the necessary training and experience to personally render the technical component of the service and maintains documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards.

This service has separate professional ('P' fee) and technical ('H' fee) components. The 'P' fee is for the professional component (interpretation) and the 'H' fee is for the technical component (procedure performance and equipment).

The 'P' fee listed is 75.90. The 'H' fee listed is 171.85.

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