All codes
N515
N515 – One disc level - below C2
OHIP Otolaryngology Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits
Posterior spinal arthrodesis with instrumentation for one disc level below . This service is categorized under 'Cervical & Thoracic ... with instrumentation' for posterior spinal fusions.
When to Use
- Use N515 for a single-level posterior spinal arthrodesis with instrumentation performed below the C2 level.
- Select N515 when the procedure involves a standard posterior fusion and instrumentation, distinguishing it from procedures involving the occiput or cervico-thoracic junction.
Common Pitfalls
- Billing N515 in conjunction with N532 will trigger an automatic reduction of the claim to E366, resulting in significant underpayment.
- Failure to document the specific levels fused can lead to audit scrutiny when claiming additional level codes like E366 or E377 alongside N515.
- Attempting to claim E366 for a fusion involving the cervico-thoracic junction is incorrect; E377 must be used for that specific anatomical site.
Billing Tips
- Always append the appropriate additional level code (E366 for standard levels or E377 for the cervico-thoracic junction) on the same claim as N515 to ensure full compensation for multi-level procedures.
- If the procedure qualifies as a trauma case, ensure the Injury Severity Score (ISS) is clearly recorded in the patient file to support the E420 premium claim.
Provider Fee$1,020.00
Surgical Assistant Fee$112.59
Anaesthetist Fee$170.39
Non-Anaesthetist Fee$170.39
Effective: April 1, 2025
Category
Z. Spinal Surgical Procedures
Subcategory
SPINAL SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Spinal Surgical Procedures
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.