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N563
N563 – Implantation of permanent subcutaneous reservoir including laminectomy
OHIP Otolaryngology Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits
Implantation of a permanent subcutaneous reservoir including laminectomy. This service is eligible for surgeon (suffix A), assistant (suffix B), and anaesthetist (suffix C) fees. The anaesthesia service has 11 basic units, and the assistant service has 11 basic units. From , Note: N563 is not eligible for payment when rendered with any decompressive codes.
When to Use
- Use N563 for the primary implantation of a permanent subcutaneous reservoir for intrathecal drug delivery when a laminectomy is required for access.
- Use this code when the procedure is performed as a standalone surgical event, ensuring no concurrent decompressive spinal procedures are billed.
Common Pitfalls
- Billing N563 alongside any decompressive laminectomy codes (e.g., N050, N051) will trigger a rejection, as the laminectomy is considered inclusive to the N563 fee.
- Attempting to bill N563 for a revision or replacement of an existing reservoir; this code is specific to the initial implantation.
Billing Tips
- Ensure the operative report explicitly details the laminectomy performed for access to support the use of N563 over simpler reservoir placement codes.
Provider Fee$510.00
Surgical Assistant Fee$137.61
Anaesthetist Fee$170.39
Non-Anaesthetist Fee$170.39
Effective: April 1, 2025
Category
Z. Spinal Surgical Procedures
Subcategory
SPINAL SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Spinal Surgical Procedures
N563 is not eligible for payment when rendered with any decompressive codes.
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