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N531
N531 – Removal of any stimulation pack or electrode
OHIP Otolaryngology Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits
Removal of any stimulation pack or electrode. This surgical procedure has an assistant fee based on 6 base units plus time units, and an anaesthesia fee based on 7 base units plus time units. Note: N531 is not eligible for payment when rendered with any other services in the Spinal Surgical Procedures section.
When to Use
- Use N531 for the standalone removal of a spinal cord stimulator lead or pulse generator when no other spinal surgical procedure is performed.
- Use this code when revising a system that requires the removal of an existing electrode or pack without the concurrent implantation of a new device.
Common Pitfalls
- N531 is strictly non-payable if billed alongside any other code from the Spinal Surgical Procedures section, leading to automatic rejection.
- Attempting to bill N531 with a primary spinal procedure (e.g., laminectomy or fusion) will result in a claim denial as it is considered inclusive to the primary surgery.
Billing Tips
- Ensure the procedure is documented as a distinct removal; if the removal is part of a larger spinal surgery, the removal is considered part of the global fee for that procedure.
Provider Fee$306.00
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
Effective: April 1, 2025
Category
Z. Spinal Surgical Procedures
Subcategory
SPINAL SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Spinal Surgical Procedures
N531 is not eligible for payment when rendered with any other services in the Spinal Surgical Procedures section
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