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N265
N265 – Differential section of facial nerve for hemi-facial spasm
OHIP Neurological Surgical Procedures Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits
N265 represents a surgical procedure within the Neurological Surgical Procedures section of the OHIP Schedule of Benefits. The procedure is a differential section of the facial nerve for hemi-facial spasm (extracranial approach). Claims should be submitted with the appropriate suffix:
A for the surgeon, B for a surgical assistant, and C for the anaesthesiologist, as per the rules outlined on . The amount payable for assistant and anaesthesia services is calculated by adding basic and time units, as detailed in the General Preamble (- for assistants, - for anaesthesiologists). Various premiums may apply, such as those for age, after-hours services, and trauma.All insured services must be documented in appropriate records. The Act requires that the record establish that:
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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