J018 – Sialogram
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
Sialogram is a diagnostic procedure involving the injection of contrast material into a salivary duct followed by imaging to visualize the salivary glands and ducts. This service is listed under the 'Clinical Procedures associated with Diagnostic Radiological Examinations' section of the Schedule of Benefits.
When to Use
- Use J018 specifically for the diagnostic injection of contrast into a salivary duct followed by radiographic imaging to investigate ductal obstruction or sialadenitis.
- Select J018 when the procedure is performed as a clinical procedure associated with diagnostic radiology, distinct from surgical excision or biopsy codes like J010 or J011.
Common Pitfalls
- Billing J018 in conjunction with a general consultation or assessment code on the same day is frequently rejected unless a separate, unrelated diagnosis is clearly documented and appended with the appropriate diagnostic code.
- Attempting to bill J018 as a surgical procedure code will result in rejection; ensure it is categorized under clinical procedures associated with diagnostic radiology to avoid audit flags.
Billing Tips
- If the procedure is performed after hours, ensure you apply the correct premium (E409 or E410) rather than a general special visit premium, as J018 is explicitly listed as a qualifying service for these specific procedural premiums.
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, Surgical Assistants' Services, Anaesthesiologists' Services
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