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N161
N161 – Cranioplasty, any non-autologous material
OHIP Neurological Surgical Procedures Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits
N161 is a surgical procedure listed in the OHIP Schedule of Benefits under 'X. Neurological Surgical Procedures', specifically for 'SKULL' repairs. Its title is 'Cranioplasty, any non-autologous material'. As a surgical procedure, it is eligible for payment to the performing surgeon (suffix 'A'), surgical assistant (suffix 'B'), and anaesthesiologist (suffix 'C'). Payment for assistant and anaesthetist services is calculated based on a combination of basic units and time units as outlined in the General Preamble (-).
All insured services must be documented in appropriate records that establish the service was provided, is the service submitted for payment, and was medically necessary, as per .
For services rendered by a Medical Trainee, the medical record must identify the Supervising Physician, the Medical Trainee and level of training, the description of the service, patient consent, and evidence of review by the Supervising Physician. The Supervising Physician must sign off on the service. See for full details.
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