J024 – Bronchial brushing - unilateral
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
Performs a unilateral bronchial brushing. This service is a clinical procedure associated with diagnostic radiological examinations, listed under Miscellaneous Procedures on page . For the bilateral equivalent, see J044.
When to Use
- Use J024 when performing a diagnostic bronchial brushing on a single lung or specific lobe during a bronchoscopy procedure.
- Use J024 as the primary procedural code when the clinical necessity for a unilateral brushing is documented, distinguishing it from the bilateral code J044.
Common Pitfalls
- Billing J024 and J044 together is a common error; J044 is the designated code for bilateral procedures and J024 is strictly for unilateral, making them mutually exclusive.
- Failure to document the specific site or laterality of the brushing can lead to claim rejections or audit adjustments, as the code specifically denotes a unilateral procedure.
Billing Tips
- Ensure that if the procedure is performed after hours or on weekends, you append the appropriate After Hours Procedure Premium (E409 or E410) to the J024 base fee to maximize reimbursement.
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
All insured services must be documented in appropriate records that establish: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.
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