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N552

N552Excision transverse process - sole procedure

OHIP Otolaryngology Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits

Excision of a transverse process is a surgical procedure involving the removal of the transverse process of a vertebra. This service is designated as a 'sole procedure'. Note: N546, N547, N551 or N552 are not eligible for payment when rendered with any other service in the Spinal Surgical Procedures section (see ).

When to Use

  • Use N552 when performing an isolated excision of a transverse process as the sole surgical intervention during the operative session.
  • Use this code for cases where the transverse process is excised due to symptomatic pathology, such as a pseudoarthrosis or localized bony impingement, without any concurrent spinal instrumentation or fusion.

Common Pitfalls

  • Billing N552 in conjunction with any other code from the Spinal Surgical Procedures section (Z14) will result in an automatic rejection, as N552 is strictly defined as a sole procedure.
  • Attempting to claim N552 alongside N546, N547, or N551 is a common error that violates the explicit restriction against multiple spinal surgical procedure claims in the same session.

Billing Tips

  • Ensure that no other spinal procedures are submitted on the same claim, as the Ministry will deny the entire claim if any other Z-section codes are present.
Provider Fee$382.50
Surgical Assistant Fee$75.06
Anaesthetist Fee$123.92
Non-Anaesthetist Fee$123.92

Effective: April 1, 2025

Category

Z. Spinal Surgical Procedures

Subcategory

SPINAL SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Spinal Surgical Procedures

Note: N546, N547, N551 or N552 are not eligible for payment when rendered with any other service in the Spinal Surgical Procedures section.

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