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N107
N107 – Endovascular approach for arteriovenous malformation
OHIP Otolaryngology Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits
Endovascular approach to include balloon catheter or embolization techniques for arteriovenous malformation
When to Use
- Use N107 for the primary endovascular embolization of an intracranial arteriovenous malformation (AVM) using liquid embolic agents or coils.
- Select N107 when the procedure involves balloon-assisted navigation or occlusion specifically for the management of the AVM nidus.
Common Pitfalls
- Do not bill N107 in conjunction with diagnostic cerebral angiography (E894) if the angiography is considered an integral part of the surgical planning and execution of the N107 procedure.
- Avoid billing N107 for simple diagnostic catheterization; this code is strictly for therapeutic endovascular intervention.
- Ensure the procedure is not unbundled; if multiple vessels are embolized in a single session, N107 is typically claimed once as the primary procedure rather than per vessel.
Billing Tips
- Always verify if the procedure qualifies for an Age Premium based on the patient's age at the time of service, as this is a significant percentage increase to the $1456.95 base fee.
- If the procedure is performed on an emergency basis between 17:00 and 07:00, ensure the appropriate After Hours Procedure Premium is appended to the claim to maximize reimbursement.
Provider Fee$1,456.95
Surgical Assistant Fee$187.65
Anaesthetist Fee$232.35
Non-Anaesthetist Fee$232.35
Effective: April 1, 2025
Category
X. Neurological Surgical Procedures
Subcategory
NEUROLOGICAL SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Neurological Surgical Procedures, Surgical Assistants' Services, Anaesthesiologists' Services
All insured services must be documented in appropriate records that establish: 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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