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E368

E368First disc excision

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

This code represents the first disc excision. It is an add-on code eligible for billing with N509, N510, or N520 (Cervical/Thoracic procedures) and with N511 or N512 (Lumbar procedures).

When to Use

  • Use E368 when performing a discectomy in conjunction with a primary decompression procedure such as N509, N510, or N520 for cervical/thoracic levels.
  • Use E368 when performing a discectomy during a lumbar decompression procedure coded as N511 or N512.

Common Pitfalls

  • Billing E368 as a standalone procedure will result in an automatic rejection as it is strictly an add-on code requiring a primary spinal surgical code.
  • Attempting to bill E368 multiple times for a single level is incorrect; it is intended for the first disc excision per operative session.

Billing Tips

  • Ensure the primary procedure code (N509, N510, N511, N512, or N520) is listed first on the claim to trigger the correct processing of the E368 add-on fee.
Provider Fee$306.00

Effective: April 1, 2025

Category

Z. Spinal Surgical Procedures

Subcategory

SPINAL SURGICAL PROCEDURES

Service Type

AddOn

Code Classes

Diagnostic and Therapeutic Procedures

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