J885 – CSF circulation - 111 with In
OHIP Cardio-Thoracic Surgery Code — NUCLEAR MEDICINE - IN VIVO · Schedule of Benefits
Cerebrospinal fluid (CSF) circulation study performed with Indium-111 (In-111). This is a diagnostic procedure from the Nuclear Medicine section of the Schedule. This service is composed of two parts: 1. **Technical Component (J885B):** The performance of the scan itself. 2. **Professional Component (J885C):** The physician's interpretation of the scan results. Per , claims for the technical component must be submitted using the fee code with a 'B' suffix, and claims for the professional component must use a 'C' suffix.
When to Use
- Use J885B and J885C for the diagnostic evaluation of normal pressure hydrocephalus (NPH) or suspected CSF leaks using Indium-111 DTPA.
- Select this code when performing cisternography to assess CSF flow dynamics, as opposed to J857 which covers other specific nuclear medicine imaging procedures.
Common Pitfalls
- Failing to split the claim into J885B (technical) and J885C (professional) will result in an automatic rejection by the MOH.
- Billing J885 without a valid physician or nurse practitioner referral on file is a common audit trigger for diagnostic nuclear medicine services.
- Attempting to bill J885C for remote interpretation outside of a hospital setting will disqualify the claim from being eligible for any associated hospital-based special visit premiums.
Billing Tips
- Ensure the technical component (J885B) documentation explicitly accounts for the data acquisition and quality assurance logs to satisfy MOH audit requirements for diagnostic imaging.
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.