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N288 – Nerve graft - major - (mixed sensory and motor nerve, or pure motor nerve)

OHIP Neurological Surgical Procedures Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits

A major nerve graft surgical procedure for a mixed sensory and motor nerve, or a pure motor nerve. As per page , payment for this service includes several components if performed: • Exploration, decompression, division, excision, and/or neurolysis of the nerve(s) involved. • Harvesting of the nerve(s) required for grafting. • Any guidance, nerve stimulation, or nerve mapping. An additional fee may be claimed using E899 for each additional cable required for the graft.

Payment rules:

1. N188 or N285 when performed through the same incision as flexor tendon repairs `R585` or E581 is an insured service payable at nil.

2. N289, N287, N293, N291, N183 and/or N288 include exploration, decompression, division, excision, and/or neurolysis of the nerve(s) involved, if performed.

3. N293 or N291 are only eligible for payment for coaptation of one or more donor nerve fascicles to a recipient nerve.

4. Nerve graft fees include harvesting of the nerve(s) required for grafting.

5. Peripheral nerve fees codes include any guidance, nerve stimulation, or nerve mapping if performed.

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