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N548

N548Incision and drainage only, posterior approach

OHIP Otolaryngology Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits

N548 is a surgical procedure for spinal osteomyelitis, consisting of an incision and drainage only, performed via a posterior approach. It is not payable in conjunction with sequestrectomy (N550) as it is considered a component of that service.

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

N548 is not eligible for payment when rendered with N550 as it is included in the N550 service.

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