J008 – Hysterosalpingogram
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
J008 is a Hysterosalpingogram. This is a clinical procedure associated with diagnostic radiological examinations, listed under the 'Miscellaneous Procedures' subsection on page of the Schedule of Benefits. It is classified as a 'Major Invasive Procedure' and is therefore eligible for after-hours procedure premiums as outlined on page .
When to Use
- Use J008 when performing a hysterosalpingogram for infertility investigation or tubal patency assessment following a formal referral from a physician or nurse practitioner.
- Use J008 as the primary procedural code for the clinical component of the hysterosalpingogram, distinct from the technical radiological interpretation fee.
Common Pitfalls
- Billing J008 without a valid referral on file, as this is a requirement for all clinical procedures associated with diagnostic radiological examinations.
- Attempting to claim after-hours premiums (E409, E410, E412, E413) for routine elective hysterosalpingograms; these premiums are strictly reserved for non-elective procedures or those delayed by surgical emergencies.
Billing Tips
- Ensure the patient's age is verified for the automatic application of age-based fee premiums (AGE_PREMIUM_U16) if the patient is under 16 years of age.
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
Female
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.