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E391

E391Vertebroplasty, each additional level

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

Vertebroplasty for each additional level. This surgical procedure is payable in addition to the primary vertebroplasty procedure, which is either N570 (Vertebroplasty as sole procedure, first level) or E388 (vertebroplasty combined with any other procedure, first level).

When to Use

  • Use E391 for the second and any subsequent vertebral levels treated during the same operative session as the primary procedure (N570 or E388).
  • Apply this code when performing multi-level vertebroplasty to account for the additional levels beyond the first level covered by the base procedure code.

Common Pitfalls

  • Submitting E391 without a primary procedure code (N570 or E388) will result in an automatic rejection as it is an add-on code.
  • Attempting to bill other spinal surgical procedure codes alongside N570 is prohibited; only E391 is permitted as an additional service in that section.
  • Failing to specify the number of units for E391 when treating three or more levels, as each additional level requires its own unit count.

Billing Tips

  • Ensure the primary procedure (N570 or E388) is billed as the first line item to establish the base, followed by E391 with the appropriate unit count for additional levels.
  • Verify that the total number of levels billed (1 primary + X additional) matches the operative report to avoid audit discrepancies regarding the extent of the procedure.
Provider Fee$252.95

Effective: April 1, 2025

Category

Z. Spinal Surgical Procedures

Subcategory

SPINAL SURGICAL PROCEDURES

Service Type

Procedure

Code Classes

Spinal Surgical Procedures

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