All codes
N553
N553 – Simple soft tissue tumour excision under 5cm
OHIP Otolaryngology Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits
Simple soft tissue tumour excision under 5cm. This is a surgical procedure listed under 'Tumours/Infections of the Spine'. The service has 6 basic units for anaesthesia and no basic units for a surgical assistant.
When to Use
- Use N553 for the excision of a simple soft tissue tumour located in the spinal region that measures less than 5cm in diameter.
- Select N553 when the procedure is limited to a simple excision, as opposed to N554 which is reserved for more complex or larger soft tissue tumour excisions.
Common Pitfalls
- Billing N553 for tumours 5cm or larger, which should be billed under N554 to avoid audit flags for incorrect code selection.
- Attempting to bill a surgical assistant fee for N553, which is ineligible as the code has zero basic units for an assistant.
Billing Tips
- Ensure the pathology report clearly documents the tumour size and nature to support the use of the 'simple' and 'under 5cm' criteria if audited.
- Always verify if the procedure qualifies for age-based premiums (e.g., AGE_PREMIUM_LT_16Y) or after-hours premiums (E409, E410) to maximize the claim value.
Provider Fee$204.00
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
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.