J061 – Percutaneous cecostomy
OHIP Cardio-Thoracic Surgery Code — CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS · Schedule of Benefits
Percutaneous cecostomy is a clinical procedure involving the creation of a stoma (opening) from the cecum to the exterior of the body through the skin. This procedure is listed under the 'Clinical Procedures Associated with Diagnostic Radiological Examinations' section of the Schedule of Benefits.
When to Use
- Use J061 when performing a radiologically guided percutaneous cecostomy for decompression or access in patients with chronic constipation or pseudo-obstruction.
- Select J061 specifically for the creation of the stoma; do not use it for subsequent tube exchanges or routine maintenance, which are typically not billable as independent procedures.
Common Pitfalls
- Billing J061 alongside other interventional radiological procedures (such as J055 or J062) may trigger a 'multiple procedure' rejection if the Ministry deems them part of a single operative session.
- Attempting to bill an office visit or consultation fee on the same day as J061 will result in a rejection unless a separate, unrelated clinical issue is documented and appended with the appropriate diagnostic code.
Billing Tips
- Ensure the procedure is performed under radiological guidance as required by the 'Clinical Procedures associated with Diagnostic Radiological Examinations' category; documentation must reflect the imaging modality used.
- If the procedure is performed after hours, verify eligibility for E409 or E410 premiums, ensuring the non-elective status is clearly noted in the operative report to avoid audit recovery.
Effective: April 1, 2026
E. Clinical Procedures associated with Diagnostic Radiological Examinations
CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC RADIOLOGICAL EXAMINATIONS
Procedure
Clinical Procedures associated with Diagnostic Radiological Examinations
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