What is OHIP billing code J058?

J058 is "Vascular stenting", an OHIP Cardio-Thoracic Surgery code from the Ontario Schedule of Benefits (Physician Services).

How much does J058 pay?

The current OHIP fee for J058 is $101.55, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill J058 to OHIP?

J058 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates J058 claims against the Schedule of Benefits rules before submission.

All codes

J058

J058 – Vascular stenting

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

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Vascular stenting is a clinical procedure associated with diagnostic radiological examinations, specifically under angiography. This service is classified as a Major Invasive Procedure per . As a surgical procedure, it includes all common and specific elements outlined in the General Preamble (, , ). Payment for anaesthesia services (J058C) is determined by adding the appropriate time units to the 6 basic units listed in the Schedule (, ). Note: J058 claimed same patient same day as G298 is payable at nil ().

When to Use

Use J058 for the placement of a vascular stent during a diagnostic angiographic procedure when the primary intent is the therapeutic intervention of the vessel.
Use J058 as the primary procedural code for major invasive vascular stenting, ensuring it is not billed alongside G298, which is restricted to nil payment on the same day.

Common Pitfalls

Billing J058 on the same day as G298 will result in a zero-dollar payment for J058 due to the explicit restriction in the Schedule of Benefits.
Failing to document the specific clinical necessity for the stent as a major invasive procedure can lead to audit recovery, as J058 is classified under GP104.

Billing Tips

When providing anaesthesia for J058, ensure you bill J058C using the 6 basic units plus the applicable time units as defined in GP93 and E2.
If the procedure is non-elective and performed after hours, apply the appropriate premium (E409 or E410) to the J058 base fee to maximize reimbursement.

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Provider Fee$101.55

Anaesthetist Fee$92.94

Non-Anaesthetist Fee$92.94

Effective: April 1, 2025

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