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N529 – Medullary spinal trigeminal tractotomy

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

Medullary spinal trigeminal tractotomy is a surgical procedure listed under Spinal Surgical Procedures. Payment for the surgeon (suffix A) is a flat fee. Payment for surgical assistant (suffix B) and anaesthesiologist (suffix C) services are calculated using base units plus time-based units. The service has 10 base units assigned for the assistant and 15 base units for anaesthesia. An additional premium, E383, is payable to the surgeon for acute spinal cord injury cases. No decompressive codes are eligible for payment when rendered with `N529.
All insured services must be documented in appropriate records that establish: 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.

No decompressive codes are eligible for payment when rendered with N529 or N564.

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