J033 – Splenoportogram
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
J033 represents a splenoportogram, a specialized angiographic procedure classified under peripheral venography. It involves a direct puncture technique. This service is listed under Clinical Procedures Associated with Diagnostic Radiological Examinations. Payment for this service is for the professional component of the procedure. Anaesthesia services are payable with 6 base units, and surgical assistant services are payable with 6 base units but are subject to independent consideration.
When to Use
- Use J033 specifically for direct-puncture splenoportography to visualize the portal venous system.
- Use this code when performing diagnostic angiography where the splenic vein is accessed directly rather than via catheter-based percutaneous transhepatic or transjugular routes.
Common Pitfalls
- Do not bill J033 alongside other peripheral venography codes if the procedure is part of a single comprehensive angiographic study, as this may be flagged as unbundling.
- Failure to bill J035 for pressure measurements taken during the procedure is a common missed opportunity for additional revenue.
- Billing J033 as a standard diagnostic imaging fee rather than a clinical procedure code can lead to incorrect premium application.
Billing Tips
- Always append J035 if pressure measurements are recorded during the splenoportogram to capture the additional $34.00 fee.
- Ensure that if an assistant is required, you document the complexity to support the independent consideration for the 6 base units assigned to surgical assistants.
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
All insured services must be documented in appropriate records that establish the service was provided, is the service for which the account is submitted, and was medically necessary, as per .
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