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E380

E380Laminoplasty - additional level

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

Each additional level of laminoplasty (includes fixation of lamina), when performed with N520.

When to Use

  • Use E380 in conjunction with N520 when performing a multi-level laminoplasty to decompress the spinal canal across more than one vertebral segment.
  • Apply E380 for each additional vertebral level beyond the initial level covered by the primary N520 claim.

Common Pitfalls

  • Billing E380 as a standalone code without an accompanying N520 claim will result in automatic rejection.
  • Miscounting the number of levels treated, as E380 is strictly for 'additional' levels; ensure the total units of E380 match the number of levels beyond the first.
  • Attempting to bill E380 for laminectomies or other spinal decompression procedures that are not specifically defined as laminoplasty.

Billing Tips

  • Always link E380 to the same date of service and the same primary N520 procedure to ensure the claim is processed correctly as an add-on.
Provider Fee$357.00

Effective: April 1, 2025

Category

Z. Spinal Surgical Procedures

Subcategory

SPINAL SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Spinal Surgical Procedures

All insured services must be documented in appropriate records that establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.

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