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N213
N213 – Decompression of optic nerve(s)
OHIP Otolaryngology Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits
Craniotomy for decompression of optic nerve(s). This procedure may be performed with an operating microscope, which is claimed separately using E901.
When to Use
- Use N213 for craniotomy-based decompression of the optic nerve, such as for optic canal decompression in the setting of traumatic optic neuropathy or compressive lesions.
- Select N213 when the surgical approach requires a formal craniotomy, distinguishing it from endoscopic or trans-sphenoidal approaches that may fall under different procedural codes.
Common Pitfalls
- Failure to bill E901 alongside N213 when an operating microscope is utilized, resulting in a missed flat fee payment of $234.65.
- Incorrectly billing N213 for non-craniotomy optic nerve procedures; ensure the operative report clearly details the craniotomy approach to avoid audit rejections.
Billing Tips
- Always append E901 to your claim for N213 if the operative report confirms the use of an operating microscope, as this is a separate, mandatory claimable item.
Provider Fee$1,116.60
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
Neurological Surgical Procedures
Payable with E901 when an operating microscope is used.
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