All codes
N566
N566 – Repair of anterior sacral meningocoele including release of tethered cord
OHIP Otolaryngology Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits
N566 is a fee-for-service code for the surgical repair of an anterior sacral meningocele, including the release of a tethered cord. The surgeon's fee (suffix A) is a set amount. The fees for the surgical assistant (suffix B) and anaesthesiologist (suffix C) are calculated based on basic units plus time-based units. The service is not payable with decompressive codes, but is payable with fusion procedures when performed.
When to Use
- Use N566 specifically for the surgical repair of an anterior sacral meningocele that necessitates the release of a tethered cord.
- Use this code when the procedure is performed as a standalone primary surgical intervention for the specified sacral pathology.
Common Pitfalls
- Billing any decompressive procedure codes in conjunction with N566 will result in automatic rejection, as they are explicitly excluded from payment.
- Failing to document the specific release of the tethered cord can lead to audit scrutiny, as the code definition requires this component for valid billing.
Billing Tips
- Ensure that if a spinal fusion is performed during the same operative session, it is billed separately, as fusion procedures remain eligible for payment alongside N566.
- Always verify the patient's age at the time of the procedure to apply the correct age premium, as these percentages significantly increase the total procedural fee.
Provider Fee$1,020.00
Surgical Assistant Fee$100.08
Anaesthetist Fee$154.90
Non-Anaesthetist Fee$154.90
Effective: April 1, 2025
Since Oct 2005, this fee has increased 0.0% vs 51.4% CPI inflation
Category
Z. Spinal Surgical Procedures
Subcategory
SPINAL SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Spinal Surgical Procedures
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