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J867
J867 – First transit - with blood pool images
OHIP Nuclear Medicine - IN VIVO Code — NUCLEAR MEDICINE - IN VIVO · Schedule of Benefits
A nuclear medicine cardiovascular first transit study that includes blood pool images. This service has two components: a technical component (H) and a professional component (P). According to the Schedule (:), claims for the technical component should be submitted with suffix B (e.g., J867B), and claims for the professional component should be submitted with suffix C (e.g., `J867C).
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
All insured services must be documented in appropriate records to establish that: 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 (:).
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 (:).
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