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N560

N560Intradural extramedullary spinal tumour(s) - partial or total removal

OHIP Otolaryngology Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits

Partial or total removal of one or more intradural extramedullary spinal tumours. The fee for the surgeon (N560A) is a set amount. The fees for the surgical assistant (N560B) and anaesthetist (N560C) are calculated based on basic units plus time units as detailed in the Schedule. See the unit-based information section for details on assistant and anaesthesia units.

When to Use

  • Use N560 for the surgical excision of intradural extramedullary lesions such as meningiomas or schwannomas where the dura is opened and the tumor is removed from the spinal canal.
  • Select N560 when performing a partial or total resection of an intradural extramedullary tumor, ensuring it is not billed alongside N561 for the same spinal level.

Common Pitfalls

  • Attempting to bill N560 in combination with N561 will result in an automatic rejection as these codes are mutually exclusive for the same procedure.
  • Billing additional decompressive laminectomy codes is prohibited when N560 is claimed, as the decompression is considered inclusive to the tumor removal procedure.

Billing Tips

  • Ensure the surgical assistant and anaesthetist claim their respective N560B and N560C codes using the correct time-based unit calculations rather than a flat fee.
  • Verify that any applicable anaesthesia extra units (e.g., E020C for emergency status) are appended correctly to the anaesthetist's claim to maximize reimbursement for complex cases.
Provider Fee$2,536.80
Surgical Assistant Fee$103.28
Anaesthetist Fee$159.60
Non-Anaesthetist Fee$159.60

Effective: April 1, 2026

Category

Z. Spinal Surgical Procedures

Subcategory

SPINAL SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Spinal Surgical Procedures

No other decompressive codes are eligible for payment when rendered with N560 or N561.

N560 is not eligible for payment when rendered with N561.

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