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N208
N208 – Craniotomy for craniofacial repair
OHIP Otolaryngology Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits
Craniotomy for craniofacial repair
When to Use
- Use N208 for formal craniotomy procedures specifically indicated for the repair of congenital or acquired craniofacial deformities.
- Select N208 when the surgical approach requires a craniotomy to access and reconstruct the craniofacial skeleton, distinguishing it from simpler soft-tissue or endoscopic repairs.
Common Pitfalls
- Billing N208 in conjunction with other cranial reconstruction codes (e.g., E409 or E410) without clear documentation of distinct surgical sites or separate procedures, which may trigger a duplicate service rejection.
- Failing to account for the specific surgical assistant unit requirements defined in Appendix H, leading to under-billing of the surgical assistant fee (SUFFIX_B).
Billing Tips
- Ensure the operative report explicitly details the craniotomy component to justify the N208 fee, as auditors frequently flag procedures where the craniotomy is incidental to a primary neurosurgical or plastic surgery task.
Provider Fee$918.15
Surgical Assistant Fee$187.65
Anaesthetist Fee$232.35
Non-Anaesthetist Fee$232.35
Effective: April 1, 2025
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 that establish: 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.
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