J040 – Embolization - first vessel
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
Embolization is payable for procedures such as the treatment of haemangioma or renal carcinoma. This fee is for the first vessel embolized and must be claimed in addition to the appropriate angiographic procedural and radiological fees. For embolization of subsequent vessels during the same session, use J047.
When to Use
- Use J040 as the primary code for the first vessel embolized during a therapeutic interventional procedure, such as treating a renal carcinoma or haemangioma.
- Always pair J040 with the necessary diagnostic angiographic procedural and radiological imaging codes to ensure the full scope of the intervention is captured.
Common Pitfalls
- Claiming J040 multiple times for additional vessels in the same session, which will trigger a rejection; use J047 for every vessel beyond the first.
- Failing to include the required diagnostic imaging and angiographic procedure codes on the same claim, which often leads to audit scrutiny regarding the completeness of the procedure.
Billing Tips
- Ensure that if the procedure is performed on a pediatric patient, you apply the appropriate age premium (e.g., under 30 days, under 1 year, etc.) to the J040 fee, as these are specifically eligible for Clinical Procedures associated with Diagnostic Radiological Examinations.
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
first vessel, claim appropriate angiographic procedural and radiological fees plus
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.