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J873
J873 – Malabsorption test - with whole body counting
OHIP Nuclear Medicine - IN VIVO Code — NUCLEAR MEDICINE - IN VIVO · Schedule of Benefits
J873 is a diagnostic procedure listed under the Gastrointestinal System subsection of Nuclear Medicine - In Vivo studies. It is a malabsorption test performed using whole body counting. This service has a technical component (
H) fee of $137.70 and a professional component (P) fee of $14.25. As per , these components are generally claimed separately.All insured services must be documented in appropriate records that 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 has the necessary training and experience to personally render the technical component of the service; and the physician maintains documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards.
Per , for diagnostic services with both technical and professional components listed under one fee schedule code, the technical and professional components are claimed separately. The claim for the technical component is submitted using the fee schedule code with the suffix B and the claim for the professional component is submitted using the fee schedule code with a suffix C.
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