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J883
J883 – WBC scintigraphy - whole body
OHIP Cardio-Thoracic Surgery Code — NUCLEAR MEDICINE - IN VIVO · Schedule of Benefits
J883 represents a whole-body In-111 leukocyte scintigraphy, a diagnostic procedure categorized under Nuclear Medicine - IN VIVO. This service is comprised of a technical component (H fee) and a professional component (P fee), which are billed separately using suffixes B and C, respectively.
When to Use
- Use J883 for whole-body In-111 leukocyte scintigraphy when investigating occult infection or inflammation in patients where localized imaging like J881 or J882 is insufficient.
- Use this code specifically for whole-body surveys; do not use it for targeted scans of a single region, which should be billed under the appropriate localized scintigraphy codes.
Common Pitfalls
- Failure to bill the technical component (J883B) and professional component (J883C) separately will result in incomplete payment or rejection.
- Billing the technical component (J883B) for hospital in-patients is prohibited; the technical component is only eligible for out-patient services rendered in specific settings.
- Attempting to claim J883B for services rendered outside of a hospital setting is a violation of the Health Insurance Act and will lead to automatic rejection.
Billing Tips
- Ensure that the professional component (J883C) is only claimed by the physician who performed the interpretation and maintains the required quality assurance documentation.
- If the service is urgent and performed after hours in a hospital, ensure you select the correct special visit premium (C102-C110) based on the specific time and day, as these are add-ons to the professional component.
Provider Fee$0.00
Surgical Assistant Fee$384.80
Non-Anaesthetist Fee$49.70
Effective: April 1, 2025
Category
B. Nuclear Medicine - IN VIVO
Subcategory
NUCLEAR MEDICINE - IN VIVO
Service Type
Diagnostic
Code Classes
Nuclear Medicine - IN VIVO
Referral RequiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
The code is listed with a technical component (H) fee and a professional component (P) fee. These components must be billed separately.
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