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N510
N510 – One level - bilateral
OHIP Spinal Surgical Procedures Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits
Posterior spinal decompression, cervical/thoracic, one level - bilateral. Includes hemi and total laminectomy, foraminotomy and facetectomy. E361 is added for each additional level decompressed including disc excision; E368 for first disc excision; E374 for foramen magnum decompression < 3cm as part of cervical decompression.
All insured services must be documented in appropriate records. The record must establish that an insured service was provided, the service for which the account is submitted is the service that was rendered, and the service was medically necessary.
For services supervised by a Supervising Physician and performed by a Medical Trainee, the medical record of the patient(s) must identify: the Supervising Physician; the Medical Trainee and level of training; the description of the insured service performed by the Medical Trainee; patient consent to the Supervision; and that the Supervising Physician has reviewed the nature and outcome of the service. The Supervising Physician must sign off on the service or the record must note the date and time of discussion with the Supervising Physician.
For trauma cases claiming the E420 premium, the medical record must list the Injury Severity Score (ISS).
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