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J889
J889 – Therapeutic sleep study in specialized facility
OHIP Diagnostic and Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
Overnight sleep study with continuous monitoring of oxygen saturation, ECG and Ventilation (airflow and respiratory effort) and additional monitoring to stage sleep (including all of the following: EEG, EOG and sub-mental EMG).
A specialized facility is:
a. a facility where patients are on ventilatory support and that specializes in the treatment of adults with conditions such as amyotropic lateral sclerosis or polio; or
b. a paediatric hospital where there is a Paediatric ICU and that treats children with respiratory control disorders.
If the recording does not contain information sufficient for a diagnostic interpretation as determined in accordance with CPSO Standards, the service is not eligible for payment.
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.
For diagnostic services with both technical (H) and professional (P) components listed under one fee schedule code, the components are claimed separately. The claim for the technical component is submitted using the fee schedule code with suffix B and the claim for the professional component is submitted using the fee schedule code with a suffix C.
For services rendered on or after July 1, 2010, the 12 month period for usage limits is determined from July 1, 2009 onwards.
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