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J862 – Ocular tumour localization

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

Ocular tumour localization (J862) is a nuclear medicine imaging procedure listed in the Schedule under Miscellaneous In Vivo studies. As per page , the service is divided into two components for billing purposes, each with its own fee: • Technical Component (H): Fee is $75.60. This is claimed using J862B. As per , the technical component is not eligible for payment if the service is rendered to a hospital in-patient, or to a patient who attends a hospital and is admitted within 24 hours of receiving the diagnostic service for the same condition. Furthermore, the technical component rendered outside of a hospital is not eligible for payment. • Professional Component (P): Fee is $54.90. This is claimed using J862C and represents the physician's work in interpreting the scan and providing a report. The physician submitting a claim for the technical component is responsible for the complete quality assurance process, including data acquisition, reporting, and record keeping, and must maintain documentation of this process as per .
Referral requiredFrom: Physician, OralMaxillofacialSurgeon
For the technical component, the physician must maintain documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards.

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