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N206
N206 – Craniosynostosis, linear craniectomy - one suture
OHIP Otolaryngology Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits
Represents a surgical procedure within the Musculoskeletal System section of the OHIP Schedule. The fee for the surgeon is a set amount, while fees for the surgical assistant (N206B) and anaesthesiologist (N206C) are calculated based on basic and time units as outlined in the General Preamble (-, -). Various premiums for age, after-hours services, and trauma may apply. Use of a second assistant requires special authorization.
When to Use
- Use N206 for the surgical correction of craniosynostosis involving a single suture via linear craniectomy.
- Use N206 when the procedure is limited to one suture; if multiple sutures are involved, N207 is the appropriate alternative.
Common Pitfalls
- Billing N206 when multiple sutures are addressed during the same operative session, which should be billed under N207.
- Attempting to bill a second surgical assistant without prior written authorization from a medical consultant, as this is a strict requirement for N206.
- Incorrectly billing E003B for second assistant services, which is explicitly ineligible for this procedure.
Billing Tips
- Ensure the age-based surgical premium is applied correctly to the N206 fee, as the patient's age significantly impacts the total reimbursement.
- When multiple procedures are performed under the same anaesthetic, ensure the assistant and anaesthesiologist units are calculated based on the major procedure as defined in the General Preamble.
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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