Billing code
J162C — Complete pelvic ultrasound
Complete pelvic ultrasound
Bill J162 for a complete ultrasound of the pelvis.
Watch for: In an ovulation induction cycle J162 and J138 are limited to one per cycle; bill extra scans as J164.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $0.00 | $56.65 | $26.55 | $26.55 |
- Code
- J162C
- Description
- Complete pelvic ultrasound
- 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
Complete ultrasound of the pelvis.
What it covers
J162 is a complete pelvic ultrasound (G6). A limited pelvic study for other than pregnancy is J163; transvaginal or transrectal scanning is J138 (G6).
Billing rules
- For ovulation induction, J162 and J138 are limited to one per cycle; additional scans are J164 follicle monitoring (G6, note).
- 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: J163, J138, J161, J164, J165
Source: Schedule of Benefits (July 1, 2026), Diagnostic Ultrasound, Pelvis, page G6.
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