J049 – Embolization of spinal arteriovenous malformation - percutaneous
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
Percutaneous embolization of a spinal arteriovenous malformation. This service is classified as a Major Invasive Procedure and is eligible for after-hours premiums as listed on page .
When to Use
- Use J049 specifically for the percutaneous endovascular embolization of a spinal arteriovenous malformation (AVM).
- Apply this code when the procedure is performed as a standalone major invasive intervention, distinct from diagnostic angiographic imaging.
Common Pitfalls
- Do not bill J049 in conjunction with diagnostic angiography codes if the imaging is integral to the embolization procedure, as this may be flagged as unbundling.
- Avoid billing J049 for spinal AVM treatment that is performed via open surgical resection, as this code is strictly for percutaneous approaches.
Billing Tips
- Ensure the procedure is marked as non-elective when claiming E409 or E410 premiums to avoid automatic rejection of the after-hours supplement.
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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