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J039
J039 – Renal cyst puncture
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
J039 is a service for a renal cyst puncture. It is listed with 6 base units for anaesthesia.
When to Use
- Use J039 for the percutaneous aspiration of a symptomatic renal cyst under radiological guidance.
- Select J039 when performing a diagnostic or therapeutic puncture of a renal cyst that is distinct from a formal nephrostomy or complex drainage procedure.
Common Pitfalls
- Do not bill J039 in conjunction with diagnostic imaging codes (e.g., ultrasound or CT guidance) as the imaging is considered part of the procedure's global fee.
- Avoid billing J039 for simple cyst aspiration if the procedure is actually a more complex drainage or catheter placement, which may require a different surgical code.
- Failure to obtain prior authorization for a surgical assistant (suffix B) will result in automatic rejection, as there is no pre-defined assistant unit value for this code.
Billing Tips
- If an assistant is medically necessary, use the 6 base units from the anaesthesia column as the basis for the assistant's fee calculation upon successful authorization.
- Ensure the procedure is clearly documented as non-elective if claiming after-hours premiums like E409 or E410 to avoid audit recovery.
Provider Fee$215.25
Anaesthetist Fee$95.76
Non-Anaesthetist Fee$95.76
Effective: April 1, 2026
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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