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E391
E391 – Vertebroplasty, each additional level
OHIP Surgical Assists Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits
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.
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