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J052
J052 – Positive contrast cisternogram
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
Positive contrast cisternogram is a diagnostic procedure listed in the Schedule of Benefits under Clinical Procedures Associated with Diagnostic Radiological Examinations. It is eligible for anaesthesia services, with 6 base units assigned.
When to Use
- Use J052 specifically for the performance of a positive contrast cisternogram, which involves the injection of contrast media into the subarachnoid space for diagnostic imaging.
- Distinguish J052 from general lumbar puncture codes; J052 is strictly for procedures associated with diagnostic radiological examinations where contrast is introduced for cisternography.
Common Pitfalls
- Billing J052 as a standard diagnostic imaging fee; it must be claimed as a clinical procedure associated with the examination to trigger the correct fee and eligibility for anaesthesia base units.
- Failure to link the procedure to the appropriate anaesthesia claim when services are provided by an anaesthesiologist, as J052 carries 6 base units for anaesthesia.
Billing Tips
- Ensure the procedure is performed in a setting that supports the diagnostic radiological requirement to avoid rejection, as this code is categorized under Clinical Procedures Associated with Diagnostic Radiological Examinations.
Provider Fee$99.90
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Category
E. Clinical Procedures associated with Diagnostic Radiological Examinations
Subcategory
CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS
Service Type
Diagnostic
Code Classes
Clinical Procedures associated with Diagnostic Radiological Examinations
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