Billing code
J161C — Limited intracavitary ultrasound – other than pregnancy
Limited internal ultrasound, not pregnancy
Bill J161 for a limited intracavitary ultrasound, such as transvaginal, for a reason other than pregnancy.
Watch for: Paid at nil when done with sonohysterography (J165), and not insured when done to support IVF or artificial insemination.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $0.00 | $37.30 | $16.25 | $16.25 |
- Code
- J161C
- Description
- Limited intracavitary ultrasound – other than pregnancy
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Apr 1, 2026
- Termination date
- No end date
Explanation
Updated October 26, 2026
Limited intracavitary (for example transvaginal) ultrasound for a reason other than pregnancy.
What it covers
J161 is a limited intracavitary ultrasound for other than pregnancy (G6). The full intracavitary study is J138 (G6).
Billing rules
- Not for pregnancy (G6).
- J138 and J161 done with sonohysterography J165 are payable at nil (G6).
- Residual urine measurement by ultrasound (G900) is not payable with a pelvic or intracavitary ultrasound (G6, note 2).
- Abdominal, pelvic or pregnancy ultrasounds on the same day, same patient, by any physician as a J168 nuchal translucency scan are not payable (G5).
- Bill the technical component (H column) with suffix B and the professional component (P column) with suffix C (G2, rule 1). The technical component is payable only at a hospital or a hospital's approved off-site premises; outside hospital, only the professional component (suffix C) is billable to OHIP (G1; G2, rule 2).
- The technical component isn't payable for in-patients, or when the patient is admitted to the same hospital within 24 hours for the same condition (GP11).
- The physician claiming the professional component must personally interpret the study (G1, note 1).
- Not insured when done to support in-vitro fertilization or artificial insemination (G2 commentary; G6 commentary).
Related codes: J138, J163, J162, J165
Source: Schedule of Benefits (July 1, 2026), Diagnostic Ultrasound, Pelvis, page G6.
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