J026 – Peripheral venogram - direct puncture
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
A peripheral venogram involving direct puncture. This service is a clinical procedure associated with diagnostic radiological examinations, as listed under the Angiography subsection on page of the Schedule of Benefits. The anaesthesia base unit value for this procedure is 6 units. Assistance at surgery may be eligible for payment but requires independent consideration by a medical consultant as per .
When to Use
- Use J026 specifically for a peripheral venogram performed via direct percutaneous puncture of the vein.
- Use this code when the procedure is diagnostic in nature and falls under the Angiography subsection of the Schedule of Benefits.
Common Pitfalls
- Do not bill J026 if the venogram is performed via an existing catheter or central line, as this does not constitute a direct puncture.
- Avoid billing J026 in conjunction with other vascular access codes if the access is already established, as this may be flagged as unbundling.
- Failure to provide the required surgeon's letter for J026B (surgical assistant) will result in automatic rejection of the assistant's claim.
Billing Tips
- Ensure the procedure time is clearly documented to support the use of after-hours premiums (E409, E410) if the venogram is performed non-electively outside standard hours.
- When billing for an anaesthesiologist, ensure all applicable ASA physical status modifiers (e.g., E022C, E017C) are included to capture the full anaesthesia unit value.
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
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.