What is OHIP billing code J990?

J990 is "Sleep study more than 4 hours", an OHIP Diagnostic and Therapeutic Procedures code from the Ontario Schedule of Benefits (Physician Services).

How do I bill J990 to OHIP?

J990 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates J990 claims against the Schedule of Benefits rules before submission.

What codes are related to J990?

Codes related to J990 in the Schedule of Benefits include J898, J899.

All codes

J990

J990 – Sleep study more than 4 hours

OHIP Diagnostic and Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits

Ask a question

If a sleep study recording does not contain information sufficient for a diagnostic interpretation as determined in accordance with generally accepted standards as set out in the CPSO Standards, the professional fee is not eligible for payment and the service constitutes an incomplete study. J990 is payable when the total study time is more than 4 hours. This service is not included in the limits for complete overnight studies.

Referral requiredFrom: Physician, NursePractitioner

Time in bed (total study time) must be more than 4 hours.

The reason the recording does not contain sufficient information for a diagnostic interpretation must be documented.

J898 J899

Payment rules: 1. A maximum of one of any of J898, J899 and J990 is eligible for payment, per patient, per facility, per 12 month period. 2. J898, J899 and J990 are not included in the limits for overnight studies set out below.

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in