J102

PDF page 398 / G2

DIAGNOSTIC ULTRASOUND
PREAMBLE
OTHER TERMS AND DEFINITIONS
  1. Professional and technical components are claimed separately. Claims for the technical
     component H are submitted using listed fee code with suffix B. Claims for professional
     component are submitted using listed fee code with suffix C. (e.g. J102C)
  2. For services rendered outside a hospital setting the only fees billable under the Health
     Insurance Act are listed under the column P (use suffix C). Costs for the technical component of
     these services are only billable under the Integrated Community Health Services Centres Act,
     2023 and are listed in the Schedule of Facility Costs.
  3. A-Mode - implies a one-dimensional ultrasonic measurement procedure.
  4. M-Mode - implies a one-dimensional ultrasonic measurement procedure with movement of the
     trace to record amplitude and velocity of moving echo-producing structures.
  5. Scan B-Mode - implies a two-dimensional ultrasonic scanning procedure with a two-dimensional
     display. All ultrasound examinations include a permanent record and interpretative report.
  6. If insured diagnostic ultrasound procedures yield abnormal findings or if they would yield
     information which in the opinion of the interpreting physician would be insufficient governed by
     the needs of the patient and the requirements of the referring provider or practitioner, the
     interpreting physician may add further views and claim for them (if listed).
  7. All benefits listed apply to unilateral examinations unless otherwise specified. When imaging of
     only one anatomical area is requested, comparison ultrasound(s) initiated by the interpreting
     physician or facility are not eligible for payment.
      [Commentary:
      Ultrasound services are not insured when rendered to support in-vitro fertilization services or
      artificial insemination services. See Regulation 552 section 24(1) paragraph 23 and 29 under
      the Act.]

PDF page 399 / G3

DIAGNOSTIC ULTRASOUND
 HEAD AND NECK
                                                                                                H      P
     Brain
   J122 - complete, B-mode ..............................................................      47.20   25.85
     Echography - ophthalmic (excluding vascular study)
   J102 - quantitative, A-mode...........................................................      22.40   28.50
   J103 - B-scan immersion...............................................................      43.95   38.05
   J107 - B-scan contact....................................................................   21.75   18.85
   J108 - biometry (Axial length - A-mode) ........................................            22.80   19.70
     Face and/or neck
   J105 - excluding vascular study .................................................... 47.30 23.70
       Note:
       J105 is not eligible for payment when rendered for ultrasound imaging of the sinus(es).

Master, record 2548. Record Layout PDF, page 1.

J10220260401999999990000000000000000260000000000000000000028500000000285000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.