J880 – Dynamic renal imaging - repeat after pharmacological intervention
OHIP Cardio-Thoracic Surgery Code — NUCLEAR MEDICINE - IN VIVO · Schedule of Benefits
This service is a repeat computer-assessed renal function test performed after pharmacological intervention, typically rendered as a follow-up to J835 (Computer assessed renal function - includes first transit). The service is composed of a technical component (H) and a professional component (P). The technical component is only eligible for payment when rendered in a hospital and is subject to specific payment rules for in-patients (see ).
When to Use
- Use J880 specifically for the follow-up renal scan phase after the administration of a pharmacological agent (e.g., ACE inhibitor or diuretic) to assess renovascular hypertension or obstruction.
- This code is the correct choice for the second phase of a split-study protocol where the initial baseline scan was billed under J835.
Common Pitfalls
- Billing the technical component (H) for an in-patient or a patient admitted within 24 hours of the service will result in a rejection, as these costs are included in the hospital global budget.
- Failing to link the J880 claim to the preceding J835 baseline study in your records can trigger audit inquiries regarding the medical necessity of the repeat intervention.
Billing Tips
- Ensure the technical component is only claimed when the service is performed in a hospital setting and the patient is not an in-patient at the time of the scan.
- If the study is performed urgently after hours in a hospital, ensure you select the appropriate special visit premium (C104, C107, or C110) to accompany the professional component of J880.
Effective: April 1, 2025
B. Nuclear Medicine - IN VIVO
NUCLEAR MEDICINE - IN VIVO
Diagnostic
Nuclear Medicine - IN VIVO
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 the above upon request by the MOH.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.