J048 – Percutaneous trans-hepatic catheter portal venography
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
Percutaneous trans-hepatic catheter portal venography is a clinical procedure associated with diagnostic radiological examinations. This procedure involves inserting a catheter through the liver into the portal vein for imaging purposes. Payment for this service is for the physician performing the procedure (suffix A) and for anaesthesia services (suffix C) if required. Refer to the General Preamble for rules on anaesthesia and surgical assistant payment.
When to Use
- Use J048 when performing a diagnostic percutaneous trans-hepatic portal venogram to visualize the portal venous system via direct liver puncture.
- Use this code for portal vein catheterization specifically for diagnostic imaging purposes, distinguishing it from therapeutic interventions like TIPS (Transjugular Intrahepatic Portosystemic Shunt) which utilize different procedural codes.
Common Pitfalls
- Billing J048 for a transjugular approach is incorrect; J048 is specifically for the percutaneous trans-hepatic route.
- Attempting to bill J048 as a standalone procedure when it is part of a more comprehensive interventional radiological procedure may lead to rejection for unbundling; ensure the service is purely diagnostic as defined.
- Failure to include the required suffix (A for the surgeon/radiologist, C for anaesthesia) will result in immediate claim rejection.
Billing Tips
- Ensure the procedure is performed in a hospital setting to remain eligible for the associated anaesthesia premiums and special visit premiums like C999C.
- If an anaesthesiologist is required, remember that J048 does not have pre-assigned basic units, so you must calculate the anaesthetic fee based on time units relative to a comparable procedure as per the General Preamble.
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
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