J852

PDF page 346 / B8

NUCLEAR MEDICINE - IN VIVO
MUSCULOSKELETAL SYSTEM
                                                                                                           H            P
  Bone scintigraphy
J850 - general survey....................................................................              103.70          56.55
J851       - single site ...........................................................................     84.85         45.85
  Gallium scintigraphy
J852 - general survey....................................................................              177.55          56.55
J853       - single site ...........................................................................   123.70          45.85
  Application of tomography (SPECT)
J819    - where each SPECT image represents a different organ or
          body area, to J852, maximum 3 images per examination
          ................................................................................... add        43.50         28.05
      Note:
      J850 and J851 are not to be billed together. J804 may be claimed in addition to J850 or J851
      for blood pool study.

PDF page 348 / B10

NUCLEAR MEDICINE - IN VIVO
MISCELLANEOUS
                                                                                                H            P
J861 Radionuclide lymphangiogram ...............................................             112.20          62.40
J862 Ocular tumour localization ......................................................         75.60         62.50
J864 Tear duct scintigraphy.............................................................       97.35         48.90
J865 Total body counting including dosimetry .................................               187.95          56.55
J878 RBC scintigraphy ....................................................................   143.20          45.85
   Application of Tomography (SPECT), other than to J807, J808, or J852
J866     - maximum one per Nuclear Medicine examination ..... add 43.50                                      26.90
   Application of Hybrid Tomography (SPECT/CT)
J903 Application of hybrid tomography (SPECT/CT), to J819 or
         J866.............................................................................. add 15.00
    Payment rules:
    J903 is limited to a maximum of 1 service with J866 per examination and a maximum of 3
    services with J819 per examination.

Master, record 2827. Record Layout PDF, page 1.

J85220260401999999990000000000000002062500000000000000000000000000000565500

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.