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N169

N169Lateral canthal advancement - bilateral - two surgeons, lesser portion

OHIP Otolaryngology Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits

Lateral canthal advancement - Bilateral - two surgeons, lesser portion

When to Use

  • Use N169 specifically when acting as the second surgeon performing the 'lesser portion' of a bilateral lateral canthal advancement procedure.
  • Apply this code only when two surgeons are formally involved in the bilateral procedure, with the primary surgeon billing the 'greater portion' code.

Common Pitfalls

  • Billing N169 as a solo surgeon; this code is strictly intended for the second surgeon in a two-surgeon team.
  • Failing to coordinate with the primary surgeon, leading to claim rejections if the primary procedure code and the 'lesser portion' code do not align in the OHIP system.
  • Attempting to bill N169 alongside other surgical procedure codes without clear documentation of the distinct, secondary role performed.

Billing Tips

  • Ensure the primary surgeon's claim is submitted and processed to avoid 'service not rendered' rejections for the secondary surgeon.
  • Always verify that the patient's age is accurately recorded to automatically trigger the appropriate age premium, as this procedure is frequently performed on pediatric patients.
Provider Fee$461.10

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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