All codes
J025
J025 – Transluminal angioplasty
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
Transluminal angioplasty including angiography (if anatomy is known), with or without pressure measurements - one or more site(s) or vessel(s).
When to Use
- Use J025 when performing a transluminal angioplasty where the vascular anatomy is already known, as it encompasses the procedure and necessary angiography.
- Use J025 for single or multiple vessel angioplasties performed in the same session, as the code is inclusive of all sites treated.
Common Pitfalls
- Do not bill J021 or J022 alongside J025 when the anatomy is known, as these are considered bundled into the J025 fee.
- Failure to reduce the fee by 50% for the second angioplasty during simultaneous bilateral procedures will result in an audit discrepancy or claim rejection.
- Attempting to claim J021 or J022 at full value when anatomy is unknown is incorrect; these must be claimed at 50% of their respective values.
Billing Tips
- Ensure the procedure meets the criteria for non-elective or emergency-delayed status if you intend to append after-hours premiums like E409 or E410.
- Document the specific vessels treated clearly to justify the single J025 claim while noting the bilateral nature if a 50% reduction for the second site is applied.
Provider Fee$610.10
Anaesthetist Fee$95.76
Non-Anaesthetist Fee$95.76
Effective: April 1, 2026
Category
E. Clinical Procedures associated with Diagnostic Radiological Examinations
Subcategory
CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS
Service Type
Procedure
Code Classes
Clinical Procedures associated with Diagnostic Radiological Examinations
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