J882 – Bone marrow scintigraphy - single site
OHIP Cardio-Thoracic Surgery Code — NUCLEAR MEDICINE - IN VIVO · Schedule of Benefits
Bone marrow scintigraphy - single site. This is a diagnostic procedure listed in the Nuclear Medicine - IN VIVO section of the Schedule. It consists of two components: a technical component (H-fee of $84.85) and a professional component (P-fee of $40.30). According to , the technical component is claimed with suffix B and the professional component with suffix C. The technical component is generally not payable for hospital in-patients or when performed outside of a hospital.
When to Use
- Use J882 for localized bone marrow imaging, such as investigating focal bone pain or suspected osteomyelitis in a single anatomical region, rather than J883 which covers multiple sites.
- Select J882 when the clinical objective is to assess marrow activity in a specific area, distinguishing it from general bone scintigraphy codes like J881.
Common Pitfalls
- Billing the technical component (suffix B) for hospital in-patients or patients who are admitted within 24 hours of the procedure will result in automatic rejection.
- Failing to maintain specific quality assurance documentation for the technical component as required by GP11 creates significant audit exposure for the entire fee.
Billing Tips
- Always split the claim into two lines: one for the technical component (suffix B) and one for the professional interpretation (suffix C) to ensure proper processing.
- If performing the scan after hours for an urgent hospital patient, ensure you only append the appropriate C-series travel or first-person-seen premium to the professional component (suffix C) claim.
Effective: April 1, 2025
B. Nuclear Medicine - IN VIVO
NUCLEAR MEDICINE - IN VIVO
Diagnostic
Nuclear Medicine - IN VIVO, Diagnostic and Therapeutic Procedures
The medical record must establish that an insured service was provided, the service for which the account is submitted is the service that was rendered, and the service was medically necessary ().
For the technical component, the physician must maintain documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards ().
For diagnostic services with both technical and professional components, the technical component is claimed using suffix 'B' and the professional component with suffix 'C'.
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