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N548
N548 – Incision and drainage only, posterior approach
OHIP Otolaryngology Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use N548 when performing a standalone incision and drainage for spinal osteomyelitis via a posterior approach where no bone removal (sequestrectomy) is required.
- Use this code for urgent bedside or OR drainage procedures where the scope of work is strictly limited to the evacuation of an abscess or collection.
Common Pitfalls
- Submitting N548 alongside N550 will trigger an automatic rejection, as the Ministry considers the drainage a component of the sequestrectomy procedure.
- Attempting to bill N548 for procedures involving spinal instrumentation or complex debridement, which may require more comprehensive surgical codes rather than this specific drainage-only code.
Billing Tips
- Ensure the posterior approach is clearly documented in the operative report to justify the use of N548 over other potential drainage codes.
- If the procedure is performed after hours, ensure the appropriate after-hours premium (E409 or E410) is appended to the claim to maximize the procedural fee.
Provider Fee$102.00
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
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