J047 – Each additional vessel catheterized and occluded per vessel
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
This service is for the embolization of each additional vessel catheterized and occluded, per vessel, after the primary vessel has been treated and billed using J040. It is used for treatments such as haemangioma or renal carcinoma. This fee is claimed in addition to the appropriate primary angiographic procedural and radiological fees.
When to Use
- Use J047 for the second and subsequent vessels embolized during a single session after the primary vessel has been billed using J040.
- Apply this code when performing multi-vessel embolization for conditions like renal cell carcinoma or hepatic haemangioma where multiple feeders require occlusion.
Common Pitfalls
- Billing J047 for the first vessel treated, which must always be billed as J040 to establish the primary procedure.
- Failure to document the specific number of vessels catheterized and occluded, which leads to claim rejections during manual audits.
- Attempting to bill J047 for diagnostic catheterization without the corresponding therapeutic occlusion of that specific vessel.
Billing Tips
- Ensure the total number of J047 units claimed matches the number of additional vessels documented in the operative report beyond the primary J040 vessel.
- Apply after-hours premiums (E409, E410) to the J047 fee if the procedure meets the non-elective criteria and occurs within the specified time windows.
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
Payable per vessel for each additional vessel catheterized and occluded after the first vessel (J040).
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