J009 – Laryngogram
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
Laryngogram is a clinical procedure for the radiographic visualization of the larynx. As an insured service, it includes all common elements outlined in and of the Schedule. This service is eligible for after-hours procedure premiums (E409, E410, E412, E413), age-based premiums for patients under 16, and special visit premiums when criteria are met.
When to Use
- Use J009 when performing a formal radiographic visualization of the larynx as a clinical procedure.
- Use J009 for non-elective diagnostic procedures where the patient requires urgent laryngeal assessment in a hospital setting.
Common Pitfalls
- Billing J009 for routine office-based examinations that do not meet the criteria for a radiographic procedure.
- Attempting to bill J009 in conjunction with other special visit premiums that are specifically excluded under the Schedule of Benefits.
- Failure to include the required referral source information, which is mandatory for this clinical procedure.
Billing Tips
- Ensure you apply the correct age-based premium (e.g., 10% to 30% increase) as J009 is explicitly eligible for these adjustments based on the patient's age.
- When performing this procedure in an emergency or hospital setting after hours, verify if you qualify for E409-E413 or the relevant C-series travel premiums to maximize the 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
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