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J876
J876 – Gastro-esophageal reflux
OHIP Nuclear Medicine - IN VIVO Code — NUCLEAR MEDICINE - IN VIVO · Schedule of Benefits
Gastro-oesophageal reflux study is a diagnostic procedure within the Nuclear Medicine section. Payment for this service is divided into a technical component ('H' fee) and a professional component ('P' fee). Per of the Schedule, the technical component claim is submitted with suffix 'B' and the professional component with suffix 'C'. The technical component is only payable if the physician has the necessary training and experience and maintains quality assurance documentation. The professional component is for the physician's interpretive service.
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
For the technical component, the physician must maintain documentation describing the quality assurance process in accordance with professional standards.
All insured services require documentation in the medical record to establish that the service was provided, is the service submitted for payment, and was medically necessary.
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