What is OHIP billing code N116?

N116 is "Endonasal endoscopic resection of non-pituitary lesion(s)", an OHIP Otolaryngology code from the Ontario Schedule of Benefits (Physician Services).

How much does N116 pay?

The current OHIP fee for N116 is $2243.45, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill N116 to OHIP?

N116 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates N116 claims against the Schedule of Benefits rules before submission.

What codes are related to N116?

Codes related to N116 in the Schedule of Benefits include N111, N112, N114, E905, E886, E888.

All codes

N116

N116 – Endonasal endoscopic resection of non-pituitary lesion(s)

OHIP Otolaryngology Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits

Ask AI Bill This Code — Sign Up Free

Endonasal endoscopic resection of non-pituitary lesion(s) not originating from pituitary tissue requiring simple closure, repair and/or reconstruction of surgical defect(s). This procedure is part of the Skull Base Surgery services using an endonasal approach. Add-on codes such as E888, E905, and E886 may be applicable for extended approaches or resections of lesions extending beyond the sella turcica.

When to Use

Use N116 for the resection of non-pituitary lesions (e.g., craniopharyngiomas or meningiomas) via an endonasal endoscopic approach that necessitates reconstruction of the surgical defect.
Select N116 when the procedure involves a non-pituitary pathology that does not qualify for the specific pituitary-focused codes like N111 or N114.

Common Pitfalls

Billing for separate nasal or sinus procedures (e.g., septoplasty or turbinate reduction) is strictly prohibited, as these are considered inclusive to the approach and the E905 add-on.
Attempting to bill Respiratory or Integumentary surgical codes alongside N116 will trigger an automatic rejection due to the explicit exclusion rules in the Schedule.
Failure to obtain prior authorization for the surgical assistant (N116B) will result in a payment denial; ensure the required letter is submitted to the medical consultant.

Billing Tips

Always append E905 to N116 to capture the surgical access fee, which covers the endoscopic approach and associated nasal/sinus work.
If the lesion extends to the optic nerve, chiasm, or hypothalamus, ensure E888 is billed on the same claim to capture the additional $500.00 flat fee.

Have a specific question? Ask our billing assistant

Provider Fee$2,243.45

Anaesthetist Fee$309.80

Non-Anaesthetist Fee$309.80

Effective: April 1, 2025

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in