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E360

E360Each additional level decompression

OHIP Surgical Assists Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits

This code represents the fee for each additional level of anterior spinal decompression. It is billed in conjunction with primary decompression procedures, including cervical (N500, N501), thoracic (N502, N503, N504, N505), and lumbar (N506, N507, N508, N579) surgeries.

When to Use

  • Use E360 to bill for each additional vertebral level decompressed beyond the primary level when performing multi-level anterior cervical, thoracic, or lumbar decompressions.
  • Apply this code when the primary decompression procedure (e.g., N500, N506) covers the first level and subsequent levels require additional surgical time and effort.

Common Pitfalls

  • Billing E360 in conjunction with N569 will result in automatic rejection, as anterior cervical decompression by intra-oral approach is restricted from this add-on.
  • Failing to clearly document the specific vertebral levels decompressed in the operative report can lead to claim denials during post-payment audits.

Billing Tips

  • Ensure the primary procedure code (e.g., N500-N508) is billed as the first line item, followed by the appropriate number of units of E360 for each additional level treated.
Provider Fee$306.00

Effective: April 1, 2025

Category

Z. Spinal Surgical Procedures

Subcategory

SPINAL SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Spinal Surgical Procedures

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