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J884
J884 – WBC scintigraphy - single site
OHIP Nuclear Medicine - IN VIVO Code — NUCLEAR MEDICINE - IN VIVO · Schedule of Benefits
In-111 leukocyte scintigraphy for a single site is a diagnostic imaging procedure within the hematopoietic system category. It involves the use of radiolabeled white blood cells (leukocytes) to detect and localize infection or inflammation in a specific area of the body.
This service has two components as per the Schedule of Benefits:
• Technical Component (H-fee): Claimed as J884B, this component covers the use of equipment, supplies, and technical personnel. As per (), the technical component (H) is only payable when rendered in a hospital setting.
• Professional Component (P-fee): Claimed as J884C, this component covers the physician's service of interpreting the scan and providing a report.
As per (), claims for the technical component should be submitted with suffix 'B' and for the professional component with suffix 'C'.
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon, Midwife, OralMaxillofacialSurgeon
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.
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.
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