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Diagnostic & laboratory specialties
Nuclear Medicine OHIP billing codes
Nuclear medicine consultations and premiums, then scintigraphy by system: cardiac, bone, endocrine, gastrointestinal, renal, pulmonary, haematopoietic and PET.
79 codes in 10 sections, fees from the current Schedule of Benefits. Every code the Schedule lists for specialty 63 is in the full Nuclear Medicine listing.
These services are paid as separate technical and professional components in the Schedule of Benefits. The component fee columns are not yet loaded here, so rows show the code and service; open a code for its full Schedule entry.
Consultations & assessments
- A635ConsultationConsultation - Nuclear Medicine—
- A835Comprehensive nuclear medicine consultation—
- A735Diagnostic Consultation (Nuclear Medicine)—
- A636Repeat Consultation—
- A633Specific AssessmentSpecific Assessment - Nuclear Medicine—
- A638Partial AssessmentPartial assessment rendered by a specialist in Nuclear Medicine.—
- A631Minor AssessmentMinor Assessment (Nuclear Medicine)—
- C635ConsultationA consultation rendered by a Nuclear Medicine specialist for a non-emergency hospital in-patient, following a written request from a referring practitioner.—
- C835Comprehensive nuclear medicine consultationA comprehensive consultation provided by a Nuclear Medicine specialist to a non-emergency hospital in-patient, subject to the same conditions as <billingCode>A835</billingCode>.—
- C735Diagnostic consultation - nuclear medicineA diagnostic consultation provided by a Nuclear Medicine specialist to a non-emergency hospital in-patient. This service is subject to the same conditions as <billingCode>A735</billingCode>.—
- C636Repeat ConsultationA repeat consultation for a non-emergency hospital in-patient provided by a specialist in Nuclear Medicine. This service requires a new written referral for the same problem previously seen in consultation.—
Cardiac
- J807Myocardial Perfusion Scintigraphy - resting, immediate post stressA nuclear medicine diagnostic procedure for myocardial perfusion scintigraphy at rest or immediately post-stress. This service has separate technical (H) and professional (P) components.—
- J808Myocardial Perfusion Scintigraphy - delayedA delayed myocardial perfusion scintigraphy study, which is a nuclear medicine imaging test to assess heart muscle blood flow. It is often used with a stress study (<billingCode>J807</billingCode>) and can be enhanced with SPECT (<billingCode>J809</billingCode>) or PET (<billingCode>J901</billingCode>).—
- J809Application of SPECTAn add-on for the application of Single Photon Emission Computed Tomography (SPECT) to myocardial perfusion scintigraphy codes J807 or J808. This service is limited to a maximum of 1 with J807 per examination and a maximum of 2 with J808 per examination.—
- J810Myocardial scintigraphy - acute infarction, injury, inflammation, infiltrationA nuclear medicine diagnostic procedure for myocardial scintigraphy, used to assess for acute infarction or injury. This service has both professional (P) and technical (H) components.—
- J811Myocardial wall motion studiesA nuclear medicine diagnostic procedure for myocardial wall motion studies. This service has separate professional (P) and technical (H) components.—
- J813Myocardial wall motion studies with ejection fractionA myocardial wall motion study that includes the calculation of the ejection fraction, performed using nuclear medicine techniques.—
- J812Myocardial wall motion - repeat same dayA repeat study of myocardial wall motion performed on the same day as an initial study (<billingCode>J811</billingCode>), limited to a maximum of three repeats. Not payable if rendered with <billingCode>J813</billingCode> or <billingCode>J814</billingCode>.—
- J806First pass for shunt detection, cardiac output and transit studiesA nuclear medicine cardioangiography study, first pass, for shunt detection, cardiac output, and transit studies. This service has separate technical (H) and professional (P) fee components.—
- J804BFirst Transit - Technical ComponentTechnical component for a 'First Transit' cardiovascular nuclear medicine study performed without blood pool images. This covers the equipment, supplies, and technical staff.—
- J804CFirst Transit - Professional ComponentProfessional component for the interpretation and reporting of a 'First Transit' cardiovascular nuclear medicine study performed without blood pool images.—
- J900Application of PET for myocardial perfusionAn add-on to <billingCode>J807</billingCode> for the application of PET for myocardial perfusion scintigraphy, limited to one per examination.—
- J901Application of Rubidium PET for cardiac perfusionAn add-on service for the application of Rubidium PET for delayed myocardial perfusion scintigraphy (<billingCode>J808</billingCode>). It is only payable for patients with known or suspected coronary artery disease at intermediate risk where the need for intervention is uncertain.—
Bone & musculoskeletal
- J850Bone scintigraphy - general surveyA nuclear medicine diagnostic procedure for a whole-body bone scan. This code has separate technical (H) and professional (P) fee components and cannot be billed with a single-site bone scintigraphy (<billingCode>J851</billingCode>).—
- J851Bone scintigraphy - single siteA nuclear medicine bone scintigraphy (bone scan) focused on a single anatomical area. This service includes both a professional component (interpretation) and a technical component, which are typically billed separately.—
- J819Application of tomography (SPECT)An add-on to <billingCode>J852</billingCode> for the application of tomography (SPECT) when each SPECT image represents a different organ or body area. This code can be claimed up to a maximum of 3 times per examination.—
- J852Gallium scintigraphy - general surveyA nuclear medicine diagnostic procedure involving a general survey using gallium scintigraphy. This service has both a professional ('P') component and a technical ('H') component.—
Endocrine
- J817Thyroid uptakeA nuclear medicine diagnostic procedure for measuring thyroid uptake. This service has separate professional (P) and technical (H) components.—
- J870Thyroid uptake - repeatA repeat thyroid uptake study, a diagnostic procedure that measures how much radioactive iodine the thyroid gland absorbs. This is typically claimed for a subsequent measurement on the same day as an initial uptake study (<billingCode>J817</billingCode>).—
- J818Thyroid scintigraphy with 99m Tc or 131 IThyroid scintigraphy is a nuclear medicine imaging procedure using Tc99m or I-131 to evaluate the thyroid gland's structure and function, typically for conditions like hyperthyroidism or suspected thyroid masses. This service has separate professional and technical fee components.—
- J871Thyroid scintigraphy with I-123Provides for a nuclear medicine thyroid scan using Iodine-123. This service includes both a technical component (H Fee) for the facility and a professional component (P Fee) for the physician's interpretation.—
- J872Metastatic survey with I-131A nuclear medicine diagnostic procedure for a metastatic survey using I-131, consisting of professional (P Fee) and technical (H Fee) components.—
- J869Theranostic scintigraphyAdrenal scintigraphy using Metaiodobenzylguanidine (MIBG) to visualize the adrenal glands. This is a nuclear medicine diagnostic procedure with separate technical and professional components.—
Gastrointestinal & hepatobiliary
- J831Biliary scintigraphyA nuclear medicine imaging procedure to evaluate the biliary system, including the gallbladder and bile ducts. This service has separate professional ('P') and technical ('H') components.—
- J830Abdominal scintigraphy - 99m Tc sulphur colloid or pertechnetate TcA nuclear medicine diagnostic procedure for detecting gastrointestinal bleeding using Tc99m sulphur colloid or Tc⁰⁴. This service consists of separate professional (P) and technical (H) components.—
- J832Liver/spleen scintigraphyThe professional component (P-fee) for liver/spleen scintigraphy, which covers the specialist's interpretation of the study and the written report.—
- J829Gastrointestinal transitA nuclear medicine diagnostic procedure to assess gastrointestinal transit, which includes separate technical (H) and professional (P) components.—
- J876Gastro-esophageal refluxA nuclear medicine diagnostic procedure to assess gastro-oesophageal reflux, which includes separate professional and technical fee components.—
- J827Oesophageal motility studiesA nuclear medicine diagnostic procedure to assess oesophageal motility, which may involve one or more studies. This service has both a professional and a technical component, typically performed in a hospital setting.—
- J874Blood loss using CrA nuclear medicine diagnostic procedure to measure gastrointestinal blood loss using Chromium-51 (Cr⁵¹). This service has separate professional (`P`) and technical (`H`) fee components.—
- J824Malabsorption test - with C substrateA nuclear medicine diagnostic test to investigate malabsorption using a C¹⁴ substrate. This service consists of both a professional component (physician interpretation) and a technical component (facility/equipment).—
- J873Malabsorption test - with whole body countingA nuclear medicine malabsorption test utilizing whole body counting. This service is comprised of a technical component (`H`) and a professional component (`P).—
- J833Salivary gland scintigraphyA nuclear medicine imaging procedure (scintigraphy) to evaluate the function of the salivary glands. This service has separate billable professional (P) and technical (H) components.—
Renal & genitourinary
- J834Dynamic renal imagingA nuclear medicine procedure for dynamic imaging of the kidneys. This service is comprised of a technical component (H) and a professional component (P).—
- J835Dynamic renal imaging - includes first transitA nuclear medicine diagnostic procedure for computer-assessed renal function, which includes the first transit of a radiopharmaceutical.—
- J880Dynamic renal imaging - repeat after pharmacological interventionA repeat computer-assessed renal function test performed following a pharmacological intervention. This service is a follow-up procedure to <billingCode>J835</billingCode> and consists of both a technical (H) and professional (P) component.—
- J836Static renal scintigraphyStatic renal scintigraphy is a nuclear medicine procedure for imaging the kidneys. This service has separate technical (H-fee) and professional (P-fee) components that are billed separately.—
- J838GFR by blood sample methodA nuclear medicine diagnostic procedure to determine the Glomerular Filtration Rate (GFR) by blood sample method. This service has separate professional ('P') and technical ('H') components.—
- J837ERPF by blood sample methodMeasures the Effective Renal Plasma Flow (ERPF) by the blood sample method. This service has a technical component (H) fee and a professional component (P) fee.—
- J839Cystography for vesicoureteric refluxA nuclear medicine diagnostic procedure for imaging vesicoureteric reflux. This service has separate professional (P) and technical (H) components that must be billed separately.—
- J840BTesticular and Scrotal Scintigraphy - Technical ComponentTechnical component of testicular and scrotal scintigraphy, a nuclear medicine imaging procedure which includes the first transit study.—
- J840CTesticular and Scrotal Scintigraphy - Professional ComponentProfessional component (interpretation and report) for testicular and scrotal scintigraphy, a nuclear medicine imaging procedure which includes the first transit study.—
Pulmonary & neurological
- J860Ventilation and perfusion (V/Q) scintigraphy - same dayA combined nuclear medicine imaging procedure to assess both lung ventilation (airflow) and perfusion (blood flow) performed on the same day, typically used to diagnose conditions like pulmonary embolism.—
- J887Ventilation lung scintigraphyA nuclear medicine procedure that provides a scintigraphic image of ventilation in the lungs. This code has separate fees for the technical (H) and professional (P) components.—
- J858Brain scintigraphy - except cerebral perfusionBrain scintigraphy, a nuclear medicine imaging test, composed of a separately billable technical component (H) and professional component (P).—
- J857CSF circulation - 99m with TcA nuclear medicine diagnostic procedure for imaging cerebrospinal fluid (CSF) circulation. This service has both a professional (`<billingCode>J857C</billingCode>`) and technical (`<billingCode>J857B</billingCode>`) component, which are billed separately.—
- J886CSF circulation - via shunt punctureA nuclear medicine procedure to assess cerebrospinal fluid (CSF) circulation, where the radiopharmaceutical is introduced via a shunt puncture. This service has distinct professional (P) and technical (H) components.—
Haematopoietic & infection
- J883WBC scintigraphy - whole bodyA nuclear medicine diagnostic imaging service involving whole-body In-111 leukocyte scintigraphy. This service has both professional (P) and technical (H) components.—
- J884WBC scintigraphy - single siteA nuclear medicine procedure for single-site imaging using In-111 labeled leukocytes to identify areas of infection or inflammation. This service is divided into a technical component (H-fee) and a professional component (P-fee).—
- J881Bone marrow scintigraphy - whole bodyA whole body bone marrow scintigraphy. This diagnostic procedure has separate technical (H) and professional (P) components which are claimed with suffixes 'B' and 'C' respectively.—
- J882Bone marrow scintigraphy - single siteA nuclear medicine diagnostic procedure for bone marrow scintigraphy of a single site. This service has separately billable professional (P) and technical (H) components.—
- J878RBC scintigraphyThe technical component for an abdominal scintigraphy using labelled red blood cells (RBCs) to detect gastrointestinal bleeding. This service covers the use of equipment, supplies, and technical personnel.—
- J841Plasma volumeA nuclear medicine diagnostic procedure to measure the plasma volume in a patient, as part of a hematopoietic system assessment. This service includes both a technical component (`<billingCode>J841B</billingCode>`) and a professional component (`<billingCode>J841C</billingCode>).—
- J843Red cell volumeA nuclear medicine procedure to measure the volume of red blood cells in the body. This service has separate professional ('P') and technical ('H') components.—
- J848Red cell, white cell or platelet survivalA nuclear medicine procedure for measuring red cell, white cell, or platelet survival. This service has distinct technical (H) and professional (P) components.—
Tomography & other
- J866Application of Tomography (SPECT)An add-on fee for the application of Single-Photon Emission Computed Tomography (SPECT) to a nuclear medicine examination, limited to one per examination. This code is not payable with `<billingCode>J807</billingCode>`, `<billingCode>J808</billingCode>`, or `<billingCode>J852</billingCode>`.—
- J861Radionuclide lymphangiogramA nuclear medicine diagnostic procedure involving radionuclide imaging of the lymphatic system, which includes separate professional (P) and technical (H) fee components.—
- J863ScintimammographyA nuclear medicine diagnostic procedure for breast imaging, performed unilaterally or bilaterally. Payment is conditional upon meeting specific clinical criteria such as breast density with risk factors, architectural distortion, or certain lesions. The technical component fee is $119.35 and the professional component is $45.55.—
- J864Tear duct scintigraphyA nuclear medicine diagnostic procedure (scintigraphy) to assess the function and drainage of the lacrimal (tear duct) system. This service has separate professional and technical fee components.—
- J862Ocular tumour localizationA nuclear medicine diagnostic procedure for the localization of ocular tumours. This service consists of separate technical (H) and professional (P) components, billed using suffixes B and C respectively.—
How to use this nuclear med code set
This is a working list, not the whole Schedule. It carries the codes the Ontario Schedule of Benefits ties to nuclear medicine (specialty 63) — its own consultation and assessment codes, in-patient visits, premiums and the diagnostics or procedures that make up most of a day — sectioned the way a shift sheet reads. Codes open to every specialty that a nuclear med physician also bills (general assessments, forms, special visit premiums) live in the Family Practice and Special visit premiums sets.
Each code links to its full Schedule entry: fee history, restrictions, required diagnoses and the codes it can or cannot be billed with. Fees shown are the current provider or specialist fee; percentage premiums show the percentage they add to the base service.
Common questions
Which consultation or assessment code does nuclear medicine bill?
The consultations & assessments section of this set starts with A635 (Consultation). 11 codes are listed in that section.
What is in the Nuclear Medicine code set?
79 OHIP billing codes across 10 sections: Consultations & assessments; After-hours & special visit premiums; Cardiac; Bone & musculoskeletal; Endocrine; Gastrointestinal & hepatobiliary; Renal & genitourinary; Pulmonary & neurological; Haematopoietic & infection; Tomography & other. Nuclear medicine consultations and premiums, then scintigraphy by system: cardiac, bone, endocrine, gastrointestinal, renal, pulmonary, haematopoietic and PET.
Are these the current OHIP fees?
Fees are read from the current Ontario Schedule of Benefits for Physician Services and refreshed hourly. Claims are paid at the fee in force on the service date, so always confirm the effective date on the code page.
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