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N511 – One level - unilateral

OHIP Spinal Surgical Procedures Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits

One level - unilateral (Lumbar). Includes hemi and total laminectomy, foraminotomy and facetectomy.
An appropriate operative or consultation report must be submitted for Independent Consideration (IC) claims, comparing the scope and difficulty to non-IC procedures.
For services based on time or units, the start and end times must be recorded in the patient's medical record.
All insured services must be documented in medical records to establish that the service was provided, medically necessary, and matches the submitted claim.
For second assistant services, a letter from the surgeon outlining the reason is required for authorization unless the service is on the pre-approved list.

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