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N519 – C1/C2 fusion using graft/posterior wires

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

A posterior spinal arthrodesis performed as a sole procedure. N519 is specifically for a cervical / fusion using graft and posterior wires, performed without instrumentation.
All insured services must be documented in appropriate records establishing that an insured service was provided, the service submitted is the service rendered, and the service was medically necessary.

1. N519 is not eligible for payment when rendered with any other fusion procedure at the same level.

2. Submit claims for levels fused in addition to N519 using E364.

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