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J903

J903Application of hybrid tomography (SPECT/CT), add-on to J819 or J866

OHIP Cardio-Thoracic Surgery Code · Schedule of Benefits

Application of hybrid tomography (SPECT/CT), as an add-on service to SPECT codes J819 or J866.

When to Use

  • Use J903 when performing a hybrid SPECT/CT scan where the CT component is utilized for attenuation correction or anatomical localization alongside a J866 general SPECT study.
  • Use J903 when billing for multiple organ SPECT studies (J819) that incorporate hybrid CT imaging, up to a maximum of three units per examination.

Common Pitfalls

  • Attempting to bill the professional component (suffix C) for J903, which is ineligible for payment as CT interpretation is bundled into the base SPECT service.
  • Claiming the 30% 'Y' prefix add-on for the SPECT study when J903 is billed, which is strictly prohibited under the Schedule of Benefits.
  • Exceeding the service limits of one unit for J866 or three units for J819, leading to automatic rejection of the J903 add-on.

Billing Tips

  • Ensure the technical component is submitted using suffix B to capture the $15.00 fee, while recognizing the professional component suffix C will result in a $0.00 payment.
Provider Fee$0.00
Anaesthetist Fee$15.00
Non-Anaesthetist Fee$15.00

Effective: April 1, 2026

Service Type

Nuclear Medicine - IN VIVO

Code Classes

Diagnostic Procedure

Must be performed in conjunction with a SPECT examination (J819 or J866).

Professional and technical components must be claimed separately using suffixes B and C.

The professional component (P) for J903 is $0.00 because the interpretation of a CT scan performed as a component of a Nuclear Medicine examination is not eligible for payment.

The technical component (H) fee is $15.00.

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