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Billing code

J335C — Antigen Challenge Test

Antigen challenge test

Bill J335 for an antigen challenge (specific inhalation challenge) test.

Watch for: Outside a hospital only the professional component (suffix C) is billable; a technical claim needs the service location indicator.

ProviderSpecialistAssistantAnaesthetistNon-anaesthetist
$0.00$0.00$60.25$30.95$30.95
Code
J335C
Description
Antigen Challenge Test
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

Antigen challenge test (specific inhalation challenge), with technical and professional components.

What it covers

J335 is an antigen challenge test (H6). Non-specific bronchial provocation testing with histamine, methacholine or thermal challenge is a separate listing, J333 (H6).

It has a technical (H) and a professional (P) component, defined in the Pulmonary Function Studies preamble (H1–H2).

Billing rules

  • Technical (H) and professional (P) components are claimed separately: suffix B for H, suffix C for P (H3).
  • The H component is payable only in a hospital or a hospital's approved off-site premises, and not for in-patients or patients admitted within 24 hours for the same condition (H1, GP11).
  • Outside a hospital, only the P component is billable (suffix C); ICHSC technical costs are in the Schedule of Facility Costs (H3).
  • The interpretation (element D) must be done personally by the physician claiming the P component; supervision and associated procedures may be delegated to another physician (H1).
  • Each coded test is a specific test that must be individually ordered (H3).
  • Not payable for routine pre-operative screening for non-thoracic surgery unless needed for respiratory diagnosis, anaesthetic decisions or optimizing the patient's respiratory disease before surgery (H3).

Common rejections

  • VHC: OHIP describes this as 'SLI required for technical fee': a technical-component (suffix B) claim needs the service location indicator, and the H fee is only payable in a hospital or approved off-site premises (H1, GP11).

Related codes: J333, J330, J301, J304, J324, J327

Source: Schedule of Benefits (July 1, 2026), Pulmonary Function Studies, page H6; preamble H1–H3.

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