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E378 – 3D stereotactic spinal procedure

OHIP Spinal Surgical Procedures Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits

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A 3D stereotactic spinal procedure is an add-on service used in conjunction with other primary spinal surgeries. It is payable in addition to procedures for posterior spinal arthrodesis, open reduction of spinal fractures (e.g., N572, N573), and correction of spinal deformities (e.g., N539, N540). This service provides advanced 3D image guidance to the surgeon during the operation.
Three-dimensional (3D) computer-assisted stereotactic navigation (E378) must include the pre-operative or intra-operative generation of axial, sagittal and coronal reformatted images that are processed and virtually represented in 3D by a surgical navigational system.
The surgical navigational system must be used to reflect the position of an image-guided (tracked) surgical tool(s) relative to the patient's anatomy.
The use of an intra-operative imaging tool such as a portable x-ray, fluoroscope (2D or 3D), CT, MRI or ultrasound for "live" localization without a surgical navigational system as defined above does not constitute E378 or E379 and is not eligible for payment.
E379N572N573N539N540

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