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N162
N162 – Morcellation procedure - one suture
OHIP Otolaryngology Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits
This is a surgical procedure for morcellation, specifically involving one suture, as listed under the 'Morcellation procedure' heading within the 'X. Neurological Surgical Procedures' section of the Schedule of Benefits (p.). Payment is made for the surgeon (suffix A), assistant (suffix B), and anaesthetist (suffix C) roles.
When to Use
- Use N162 for the specific surgical morcellation of tissue requiring a single suture closure during a neurological procedure.
- Use this code when the procedure is limited to a single suture; if the complexity or number of sutures exceeds this, review the Schedule of Benefits for higher-level neurological repair codes.
Common Pitfalls
- Billing N162 alongside other major neurological procedures without proper documentation of the distinct nature of the morcellation may lead to claims being flagged for unbundling.
- Failing to document the Injury Severity Score (ISS) when attempting to claim the E420 trauma premium will result in an automatic rejection of the premium portion of the claim.
Billing Tips
- Ensure the procedure start time is accurately recorded to support after-hours premiums (E409, E410) or assistant/anaesthetist after-hours premiums (E400B/C, E401B/C) if applicable.
Provider Fee$430.75
Surgical Assistant Fee$137.61
Anaesthetist Fee$170.39
Non-Anaesthetist Fee$170.39
Effective: April 1, 2025
Category
X. Neurological Surgical Procedures
Subcategory
NEUROLOGICAL SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
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