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J037
J037 – Mammary ductography
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
Mammary ductography (J037) is a diagnostic imaging procedure to visualize the milk ducts of the breast. It is listed in the 'Clinical Procedures Associated with Diagnostic Radiological Examinations' section of the Schedule of Benefits on page .
When to Use
- Use J037 when performing a formal mammary ductogram to investigate pathological nipple discharge by cannulating a specific duct and injecting contrast media.
- Use J037 as the primary procedure code when the clinical intent is the diagnostic visualization of the ductal system, distinct from simple diagnostic imaging interpretations.
Common Pitfalls
- Do not bill J037 in addition to a standard diagnostic mammogram interpretation fee, as J037 is a specific clinical procedure code, not a global imaging fee.
- Avoid billing J037 for routine diagnostic imaging; it is strictly for the invasive procedural component of ductography and requires specific documentation of the cannulation and contrast injection.
Billing Tips
- Ensure you apply the appropriate age-based premium (e.g., for patients under 16) if applicable, as J037 is eligible for these percentage increases under the Clinical Procedures associated with Diagnostic Radiological Examinations category.
Provider Fee$76.75
Effective: April 1, 2026
Since Apr 2004, this fee has increased 52.0% vs 58.5% CPI inflation
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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