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N514
N514 – One disc level - below C2
OHIP Otolaryngology Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use N514 as the primary code for a posterior spinal arthrodesis without instrumentation at a single disc level located below the C2 vertebra.
- Use N514 in conjunction with E364 when performing a multi-level posterior fusion without instrumentation, where N514 covers the first level and E364 covers each subsequent level.
Common Pitfalls
- Claiming N514 alongside N519 will trigger an automatic reduction of the N514 fee to the value of E364, resulting in a significant underpayment.
- Attempting to bill N514 for procedures involving instrumentation or artificial disc insertion, which are excluded from this code's definition.
- Failing to document the specific disc levels fused, which is required to justify the number of E364 units claimed in addition to the primary N514.
Billing Tips
- Always ensure the primary procedure is N514, and append E364 for each additional level; do not use N514 multiple times for the same patient on the same day.
- Verify that the procedure is performed without instrumentation, as the presence of hardware requires different coding categories entirely.
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