What is OHIP billing code J050?

J050 is "Carotid or vertebral artery occlusion by detachable balloon - percutaneous", an OHIP Cardio-Thoracic Surgery code from the Ontario Schedule of Benefits (Physician Services).

How much does J050 pay?

The current OHIP fee for J050 is $297.30, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill J050 to OHIP?

J050 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates J050 claims against the Schedule of Benefits rules before submission.

All codes

J050

J050 – Carotid or vertebral artery occlusion by detachable balloon - percutaneous

OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits

Ask AI Bill This Code — Sign Up Free

Carotid or vertebral artery occlusion by detachable balloon, percutaneous, is a clinical procedure associated with diagnostic radiological examinations. This procedure involves accessing the vascular system through the skin to guide and place a detachable balloon to block blood flow in a carotid or vertebral artery.

When to Use

Use J050 for the percutaneous placement of a detachable balloon to achieve therapeutic occlusion of the carotid or vertebral artery.
Select this code when the procedure is performed as a clinical intervention associated with diagnostic radiological imaging, such as during endovascular treatment of complex vascular lesions.

Common Pitfalls

Do not bill J050 for diagnostic angiography or standard catheterization procedures; it is strictly for the therapeutic occlusion component.
Avoid billing J050 with other special visit premiums (C102-C110) if the service is rendered outside of an acute care hospital setting or via teleradiology/PACS.
Failure to document the 'non-elective' status for after-hours premiums (E409-E413) will result in automatic rejection of the premium claim.

Billing Tips

Ensure the procedure is clearly identified as non-elective in the claim submission to qualify for after-hours premiums (E409-E413) when performed outside standard business hours.
When performing multiple procedures during a single special visit, remember that only one 'person seen' premium (C108-C110) is payable per patient, regardless of the number of J-series codes billed.

Have a specific question? Ask our billing assistant

Provider Fee$297.30

Effective: April 1, 2025

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in