J057

PDF page 320 / A192

Consultation
       A diagnostic radiology consultation is the service rendered when:
      a. radiographs or ultrasounds made at one institution or facility are referred to a radiologist at a
          different institution or facility for his/her written opinion. In this case, the specific elements are
          as for diagnostic radiology professional component (see page D1);
      b. a radiologist is required to make a special visit at evening or night (17:00h to 07:00h) or on a
         Saturday, Sunday or holiday to consult on the advisability of performing a diagnostic
         radiological procedure which eventually is not done. In this case, the specific elements are
         the same as for consultations; or
      c. when a radiologist is required to render an opinion prior to an interventional procedure and
         all of the following requirements are met. In this case, the specific elements are the same as
         for consultations:
           i.   the consultation is performed in an area remote from the radiologist’s normal procedural
                suite;
           ii. the requirements for a consultation are met;
           iii. the consultation is not solely for the purpose of clarifying or obtaining consent; and
           iv. the associated procedure is one of the following: J021, J025, J040, J041, J046, J048,
               J049, J050, J055, J056, J057, J058, J059, J063, J065, J066, N107, N118, N122, N125,
               S233, Z446, Z456, Z562, Z594.
 A335 Consultation............................................................................                 57.90
       Payment rules:
       1.A diagnostic radiology consultation is not eligible for payment when radiographs made in a
         different institution or facility are used for comparison purposes with radiographs or
         ultrasounds made in the consultant’s institution or facility.
       2.A335 is not eligible for payment for CT and MRI services.
       [Commentary:
       For a second opinion by a radiologist of CT and MRI studies, see A330 and A332 respectively.]

PDF page 390 / E6

CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC
             RADIOLOGICAL EXAMINATIONS
MISCELLANEOUS PROCEDURES
                                                                                          Spec         Anae
      [Commentary:
      Physicians should consult Ontario Health/Cancer Care Ontario’s Focal Tumour Ablation in
      Ontario: Recommendations Report 2015 or subsequent guidelines to verify clinical indications
      for J069 https://www.cancercareontario.ca/en/guidelines-advice/types-of-cancer/48981 ]
# J051 Percutaneous spinal cord puncture for syringogram ..............                166.95 6
# J013 Percutaneous trans-hepatic cholangiogram ...........................            185.90 6
# J057 Transjugular intrahepatic portosystemic shunt (TIPS) ............              1389.60 7
# J052 Positive contrast cisternogram................................................   99.90 6
  Z597  Intracavitary/intratumoural injections ......................................             159.05 7
# J039  Renal cyst puncture ................................................................      215.25 6
# J018  Sialogram................................................................................  80.10 6
# J007  Tomogram...............................................................................     -    7
# J028  Urethrogram and/or urethrocystogram and/or intestinal conduit
           examination, cystogram .....................................................            52.10
# J029 Vasogram................................................................................   105.80 6
      Note:
      Intubation of small intestine (see Z540 listed in Digestive System - Intestines (except rectum)).

Master, record 2535. Record Layout PDF, page 1.

J05720260401999999990001389600000000000000000000000000000111720000001117200

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.