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E979

E979Clinoidal drilling for complex aneurysms

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

Clinoidal drilling for complex aneurysms, payable in addition to N105 (Carotid circulation - per vessel) or N154 (Vertebrobasilar circulation, including aneurysm of vein of Galen). This add-on carries a flat amount of $396.70.

When to Use

  • Use E979 when performing anterior clinoidectomy to expose the proximal neck of an ophthalmic or paraclinoid aneurysm during a craniotomy.
  • Apply this code when the drilling of the clinoid process is required to achieve adequate proximal control for complex aneurysms billed under N105.

Common Pitfalls

  • Billing E979 as a standalone procedure without an associated N105 or N154 claim will result in an automatic rejection.
  • Attempting to bill E979 for routine skull base exposure or standard craniotomy drilling that does not involve the clinoid process for aneurysm access is considered an audit risk.

Billing Tips

  • Ensure the operative report explicitly details the clinoidal drilling steps to justify the add-on fee in the event of a post-payment review.
Provider Fee$396.70

Effective: April 1, 2025

Category

X. Neurological Surgical Procedures

Subcategory

NEUROLOGICAL SURGICAL PROCEDURES

Service Type

Add-on

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