J028 – Urethrogram, urethrocystogram, intestinal conduit examination, or cystogram
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
Performance of a urethrogram, urethrocystogram, cystogram, or intestinal conduit examination. This may involve one or any combination of these radiological studies to visualize the specified parts of the urinary tract.
When to Use
- Use J028 for the performance of a retrograde urethrogram or cystogram to evaluate urethral trauma or bladder integrity.
- Use J028 for imaging an intestinal conduit (ileal conduit) to assess for leaks or obstruction in a patient with a urinary diversion.
- Use J028 when performing a combined urethrocystogram to visualize both the bladder and urethra simultaneously.
Common Pitfalls
- Do not bill J028 in conjunction with Z540, as Z540 specifically refers to intubation of the small intestine and is not a substitute for urinary tract imaging.
- Avoid billing J028 for simple diagnostic imaging interpretations; it is a procedural code intended for the performance of the examination, not the professional fee for reading the film.
- Failure to include a valid referring physician or nurse practitioner on the claim will result in automatic rejection, as this code requires a formal referral.
Billing Tips
- If the patient is under 16 years of age, ensure the appropriate age-based premium is applied to the J028 base fee to maximize reimbursement.
- For non-elective procedures performed after hours in a hospital setting, ensure you select the correct special visit premium (e.g., C102-C110) rather than standard after-hours premiums to avoid claim conflicts.
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
Intubation of small intestine (see Z540 listed in Digestive System - Intestines (except rectum)).
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.