J014 – Selective catheterization for spinal and parathyroid angiography
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
Selective catheterization for spinal and parathyroid angiography. “Selective” means manipulation of the catheter from the vessel of introduction into a branch tributary, or cardiac chamber with angiogram(s). This is claimed as an addition to the catheter insertion fee.
When to Use
- Use J014 when you have successfully manipulated a catheter into a specific spinal or parathyroid artery branch beyond the initial vessel of introduction to perform an angiogram.
- Claim this code in conjunction with J021 when the clinical procedure requires the specific, targeted catheterization of spinal or parathyroid vasculature as defined by the selective criteria.
Common Pitfalls
- Do not bill J014 for non-selective catheterization, such as simple placement in the aorta or a primary vessel, as it requires movement into a branch tributary.
- Avoid billing J014 if the procedure is part of a cardiac catheterization (Z439 to G288), as these are explicitly excluded from being claimed with the underlying J021 insertion fee.
- Failure to document the specific vessel branch accessed can lead to audit recovery, as 'selective' implies a higher level of procedural complexity than standard catheter placement.
Billing Tips
- Always pair J014 with the mandatory J021 catheter insertion fee, as J014 is strictly an add-on code and cannot be billed as a standalone procedure.
- Ensure your procedural notes clearly describe the catheter manipulation into the specific spinal or parathyroid branch to justify the 'selective' designation required for this fee.
Effective: April 1, 2026
E. Clinical Procedures associated with Diagnostic Radiological Examinations
CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS
Procedure
Clinical Procedures associated with Diagnostic Radiological Examinations
“Selective” means manipulation of the catheter from the vessel of introduction into a branch tributary, or cardiac chamber with angiogram(s).
add to catheter insertion fee
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