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J030
J030 – Discogram - each additional disc
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
When to Use
- Use J030 for every disc level injected beyond the initial level, which is billed under J006.
- Apply J030 when performing a multi-level discogram where the clinical necessity for evaluating additional discs is clearly documented.
Common Pitfalls
- Billing J030 without a corresponding J006 on the same claim will result in an automatic rejection.
- Over-billing the number of units for J030 relative to the actual number of additional discs injected is a common audit trigger for diagnostic imaging procedures.
Billing Tips
- Ensure the number of units for J030 reflects the exact count of additional discs; for example, a three-level discogram should be billed as one J006 and two units of J030.
Provider Fee$54.05
Effective: April 1, 2025
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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