What is OHIP billing code J013?

J013 is "Percutaneous trans-hepatic cholangiogram", an OHIP Cardio-Thoracic Surgery code from the Ontario Schedule of Benefits (Physician Services).

How much does J013 pay?

The current OHIP fee for J013 is $185.90, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill J013 to OHIP?

J013 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates J013 claims against the Schedule of Benefits rules before submission.

All codes

J013

J013 – Percutaneous trans-hepatic cholangiogram

OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits

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A percutaneous trans-hepatic cholangiogram (PTC) is a radiological procedure used to visualize the anatomy of the biliary tract. A contrast medium is injected into a bile duct in the liver, after which X-rays are taken. This service is for the performance and interpretation of the procedure.

When to Use

Use J013 when performing a diagnostic percutaneous trans-hepatic cholangiogram to visualize biliary anatomy in patients with suspected biliary obstruction.
Use this code when the procedure is performed as a standalone diagnostic intervention, distinct from therapeutic biliary drainage or stenting procedures.

Common Pitfalls

Billing J013 alongside therapeutic biliary interventions without clear documentation of the diagnostic component may trigger a claim rejection or audit.
Attempting to bill an assistant fee directly against J013 will result in rejection; you must use M400B and provide a letter of justification to the medical consultant.
Failing to apply the mandatory age-based premium for patients under 16 years old, as J013 is explicitly categorized as a clinical procedure associated with diagnostic radiological examinations.

Billing Tips

Ensure the referring physician's information is correctly linked to the claim, as J013 requires a valid referral from a physician or nurse practitioner to be eligible for payment.
When an assistant is medically necessary for J013, submit the claim using code M400B and include a formal letter outlining the specific clinical rationale for the assistant's presence to satisfy OHIP requirements.

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Provider Fee$185.90

Anaesthetist Fee$95.76

Non-Anaesthetist Fee$95.76

Effective: April 1, 2026

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