J003 – Bronchogram with intra-tracheal catheter - unilateral
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
Performs a unilateral bronchogram, which is a diagnostic imaging procedure of the bronchi. This service includes the placement of an intra-tracheal catheter to introduce contrast material for visualization. It is listed under 'Miscellaneous Procedures' within the 'Clinical Procedures Associated with Diagnostic Radiological Examinations' section of the Schedule.
When to Use
- Use J003 when performing a unilateral bronchogram requiring the placement of an intra-tracheal catheter for contrast introduction.
- Use this code for diagnostic imaging procedures of the bronchi where the procedure is limited to one side, distinguishing it from bilateral approaches if applicable.
Common Pitfalls
- Do not bill J003 alongside J042 for the same side, as this constitutes unbundling of the procedural components.
- Avoid billing J003 as a routine diagnostic visit; it is a specific clinical procedure associated with radiological examinations and requires documentation of the catheter placement.
- Failure to document the non-elective nature of the procedure will result in the rejection of after-hours premiums like E409 or E410.
Billing Tips
- Ensure the procedure is clearly identified as non-elective or delayed by an emergency to qualify for the 50% or 75% after-hours premiums (E409/E410).
- If the patient is under 16, apply the appropriate age-based premium percentage to the J003 base fee to maximize claim value.
Effective: April 1, 2025
E. Clinical Procedures associated with Diagnostic Radiological Examinations
CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS
Procedure
Clinical Procedures associated with Diagnostic Radiological Examinations
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.