J035 – Pressure measurements during angiography
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
J035 is payable for taking pressure measurements during an angiographic study. It is billed as an add-on to the main angiography procedure code and any associated radiological interpretation fees. This procedure is considered a major invasive procedure and may be eligible for after-hours and trauma premiums under specific conditions.
When to Use
- Use J035 when performing hemodynamic pressure measurements (e.g., gradient across a valve or stenosis) during a diagnostic angiographic procedure.
- Apply this code when pressure monitoring is required to confirm the physiological significance of a lesion identified during angiography.
Common Pitfalls
- Do not bill J035 as a standalone procedure; it must be submitted as an add-on to the primary angiography code to avoid automatic rejection.
- Avoid billing J035 for routine pressure monitoring that is inherent to the primary angiographic procedure, as this is considered unbundling.
Billing Tips
- Ensure the start time of the procedure is documented to support the application of after-hours premiums like E409 or E410, as J035 is explicitly listed as a major invasive procedure.
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, Diagnostic and Therapeutic Procedures
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