What is OHIP billing code J068?

J068 is "Hydrostatic/pneumatic reduction of intussusception", an OHIP Cardio-Thoracic Surgery code from the Ontario Schedule of Benefits (Physician Services).

How much does J068 pay?

The current OHIP fee for J068 is $48.30, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill J068 to OHIP?

J068 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates J068 claims against the Schedule of Benefits rules before submission.

What codes are related to J068?

Codes related to J068 in the Schedule of Benefits include J036, J008, J004, J009.

All codes

J068

J068 – Hydrostatic/pneumatic reduction of intussusception

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

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Hydrostatic/pneumatic reduction of intussusception, as listed in the Schedule of Benefits under Miscellaneous Procedures. Per , this is considered a Clinical Procedure Associated with Diagnostic Radiological Examinations and is eligible for after hours procedure premiums (E409, E410, E412, E413).

When to Use

Use J068 specifically for the radiologically guided hydrostatic or pneumatic reduction of intussusception in pediatric patients.
Select this code when the procedure is performed as a therapeutic intervention following a diagnostic imaging confirmation of intussusception.

Common Pitfalls

Do not bill J068 in conjunction with E420, as after-hours procedure premiums and trauma premiums are mutually exclusive.
Avoid billing J068 as a standard diagnostic imaging fee; it is a clinical procedure code and must be submitted as such to avoid rejection for incorrect service type.

Billing Tips

Always apply the appropriate age-based premium (e.g., AGE_PREMIUM_LT5Y) to J068, as these are specifically eligible for this clinical procedure code.
Ensure the procedure start time is clearly documented to support the application of after-hours premiums like E409 or E410.

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Provider Fee$48.30

Anaesthetist Fee$111.72

Non-Anaesthetist Fee$111.72

Effective: April 1, 2026

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