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J881
J881 – Bone marrow scintigraphy - whole body
OHIP Nuclear Medicine - IN VIVO Code — NUCLEAR MEDICINE - IN VIVO · Schedule of Benefits
J881 is a whole body bone marrow scintigraphy, a diagnostic procedure listed in the Nuclear Medicine section. Payment is divided into two components: a Technical Component (H-fee) and a Professional Component (P-fee).
According to , the professional component (P) is claimed using suffix 'C' and covers the physician's work in interpreting the scan and providing a report. The technical component (H) is claimed using suffix 'B' and covers the use of equipment, supplies, and technical staff.
The technical component is only payable when performed in a hospital for an out-patient and is not payable for hospital in-patients or for out-patients who are subsequently admitted to the hospital within 24 hours for the same condition. The technical component is not eligible for payment if rendered outside of a hospital.
Referral requiredFrom: Physician, OralMaxillofacialSurgeon
When claiming the technical component, the physician must have the necessary training and experience to personally render the service and must maintain documentation describing the quality assurance process in accordance with professional standards.
The medical record must establish that an insured service was provided, the service submitted is the service rendered, and the service was medically necessary.
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