What is OHIP billing code J059?

J059 is "Non-vascular stenting", an OHIP Cardio-Thoracic Surgery code from the Ontario Schedule of Benefits (Physician Services).

How much does J059 pay?

The current OHIP fee for J059 is $179.20, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill J059 to OHIP?

J059 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates J059 claims against the Schedule of Benefits rules before submission.

All codes

J059

J059 – Non-vascular stenting

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

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Non-vascular stenting is a clinical procedure that involves placing a stent to maintain or restore patency in a non-vascular duct or lumen, such as in the biliary or urinary tracts. This service is listed under Clinical Procedures Associated with Diagnostic Radiological Examinations.

When to Use

Use J059 for the placement of a biliary stent during an endoscopic or radiologically guided procedure to relieve obstruction.
Use J059 for the insertion of a ureteral stent to maintain patency in the urinary tract when performed as a distinct clinical procedure.
Use J059 for non-vascular luminal stenting where the primary intent is to restore flow in a non-vascular duct, distinguishing it from vascular interventions.

Common Pitfalls

Billing J059 in conjunction with other procedural codes that include the stenting component in their global fee, leading to duplicate billing rejections.
Failing to document the specific anatomical location and the clinical necessity for the stent, which can trigger an audit for 'unbundling' or 'incorrect code usage'.
Attempting to bill J059 for vascular procedures, which are strictly excluded from this code's scope and should be billed under appropriate vascular surgery or interventional radiology codes.

Billing Tips

Ensure that if the procedure is performed after hours, you append the correct premium (E409 or E410) to maximize the claim, provided the service meets the non-elective criteria.
Always verify if the patient qualifies for age-based premiums, as J059 is explicitly eligible for the percentage increases listed in the GP64 schedule.

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Provider Fee$179.20

Effective: April 1, 2026

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