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N152
N152 – Craniotomy plus lobectomy
OHIP Otolaryngology Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits
Craniotomy plus lobectomy
When to Use
- Use N152 for a formal lobectomy procedure requiring a craniotomy, such as for epilepsy surgery or tumor resection.
- Do not use N152 for simple craniotomy procedures without lobectomy; use N103 or N151 instead depending on the specific surgical intent.
Common Pitfalls
- Billing N152 in conjunction with other intracranial procedures performed during the same operative session without confirming if the other procedures are considered inclusive or require a manual review for multiple procedure rules.
- Failing to append the E901 code when an operating microscope is utilized, as N152 is specifically eligible for this add-on.
Billing Tips
- Always ensure the operative report explicitly details the lobectomy component to justify the higher fee compared to a standard craniotomy (N103/N151).
Provider Fee$1,754.90
Surgical Assistant Fee$193.65
Anaesthetist Fee$239.40
Non-Anaesthetist Fee$239.40
Effective: April 1, 2026
Category
X. Neurological Surgical Procedures
Subcategory
NEUROLOGICAL SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
All insured services must be documented in appropriate records. The Act requires that the record establish that: 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.
Keeping and maintaining appropriate medical records is a common element of all insured services.
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