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J057
J057 – Transjugular intrahepatic portosystemic shunt (TIPS)
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
Transjugular intrahepatic portosystemic shunt (TIPS).
When to Use
- Use J057 for the creation of a transjugular intrahepatic portosystemic shunt to manage complications of portal hypertension, such as refractory ascites or recurrent variceal bleeding.
- Select J057 when performing a primary TIPS procedure; it is the comprehensive code for the entire interventional radiological procedure.
Common Pitfalls
- Do not bill J057 in conjunction with diagnostic angiography codes for the same vascular territory, as the procedure is considered inclusive of the necessary imaging guidance.
- Avoid billing J057 for routine shunt revisions or maintenance, as these may require specific interventional codes rather than the primary shunt creation fee.
Billing Tips
- Ensure the procedure start time is accurately recorded to support the application of E409A or E410A premiums for non-elective, after-hours cases.
Provider Fee$1,389.60
Anaesthetist Fee$111.72
Non-Anaesthetist Fee$111.72
Effective: April 1, 2026
Category
E. Clinical Procedures associated with Diagnostic Radiological Examinations
Subcategory
CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS
Service Type
Surgical
Code Classes
Clinical Procedures associated with Diagnostic Radiological Examinations
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