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N122

N122Anterior circulation

OHIP Otolaryngology Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits

N122 and N125 are comprehensive intracranial endovascular management services including endovascular treatment of all intracranial aneurysm pathology in the anatomic area described.

When to Use

  • Use N122 for the endovascular treatment of aneurysms located in the anterior circulation, such as the internal carotid, anterior cerebral, or middle cerebral arteries.
  • Select N122 when performing comprehensive management including catheterization and angiography for anterior circulation pathology, as these are bundled into the fee.

Common Pitfalls

  • Billing for diagnostic angiography or image guidance separately is a common rejection, as these services are explicitly included in the N122 fee.
  • Attempting to bill E991 for liquid embolic agents or standard coil embolization will result in a rejection, as E991 is strictly reserved for flow-diverter or intra-saccular device deployment.
  • Submitting multiple claims for E991 when using multiple devices in the same operative session is incorrect; it is payable only once per session.

Billing Tips

  • Always append E991 to your N122 claim when deploying a flow-diverter or intra-saccular device to capture the additional $700 fee.
  • Ensure no other N-prefix services are billed for the same operative session, as N122 is mutually exclusive with all other N-series codes except N125.
Provider Fee$2,302.30
Surgical Assistant Fee$193.65
Anaesthetist Fee$319.20
Non-Anaesthetist Fee$319.20

Effective: April 1, 2026

Category

X. Neurological Surgical Procedures

Subcategory

NEUROLOGICAL SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Neurological Surgical Procedures

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