Billing code
J165C — Transvaginal sonohysterography
Transvaginal sonohysterography
Bill J165 for transvaginal sonohysterography with saline or other contrast; Echovist for tubal patency is J476 instead.
Watch for: A J138 or J161 done with it is paid at nil; bill catheter introduction separately as G399.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $0.00 | $116.10 | $33.15 | $33.15 |
- Code
- J165C
- Description
- Transvaginal sonohysterography
- 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
Transvaginal sonohysterography with saline or other contrast (not Echovist for tubal patency, which is J476).
What it covers
J165 is transvaginal sonohysterography. It may include saline or other intracavitary contrast, except Echovist for demonstrating tubal patency, which is J476 (G6).
Introducing the catheter, with or without injection of contrast, is billed separately as G399, which is payable only when J165 or J476 is rendered, by the same or another physician (J46).
Billing rules
- J138 and J161 done with sonohysterography J165 are payable at nil (G6).
- G399 (catheter introduction) is payable only when J165 or J476 is done (J46).
- Not insured when done to support in-vitro fertilization or artificial insemination (G2 commentary; G6 commentary).
- 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).
Often billed with
- G399 catheter introduction (J46).
Related codes: J476, G399, J138, J161, J162
Source: Schedule of Benefits (July 1, 2026), Diagnostic Ultrasound, Pelvis, page G6.
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