What is OHIP billing code N567?

N567 is "Repair of intraspinal meningocoele", an OHIP Otolaryngology code from the Ontario Schedule of Benefits (Physician Services).

How much does N567 pay?

The current OHIP fee for N567 is $1020.00, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill N567 to OHIP?

N567 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates N567 claims against the Schedule of Benefits rules before submission.

What codes are related to N567?

Codes related to N567 in the Schedule of Benefits include N535, N536, N537, N538, N565, N566.

All codes

N567

N567 – Repair of intraspinal meningocoele

OHIP Otolaryngology Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits

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Repair of intraspinal meningocoele. This is a major surgical procedure and includes all constituent elements as described in the Schedule of Benefits, including pre-operative and post-operative care. The fee for the surgeon (suffix A) is a flat fee, while fees for the surgical assistant (suffix B) and anaesthesiologist (suffix C) are calculated based on basic and time units.

When to Use

Use N567 for the primary surgical repair of an intraspinal meningocoele where the procedure involves the closure of the dural sac and associated soft tissue reconstruction.
Use this code when the procedure is performed as a standalone repair or in conjunction with spinal fusion procedures, as fusion is explicitly permitted alongside N567.

Common Pitfalls

Do not bill any decompressive laminectomy or spinal decompression codes (e.g., N535, N536, N537, N538, N565, N566) on the same claim, as these are strictly restricted and will result in automatic rejection.
Failure to document the Injury Severity Score (ISS) in the medical record will lead to the rejection of the E420 trauma premium, even if the procedure meets the clinical criteria for trauma.

Billing Tips

Ensure that age-based premiums are applied correctly to both the surgeon and surgical assistant fees, as these are automatically calculated based on the patient's age at the time of the procedure.
When performing this procedure after hours, select either the E409/E410 (surgeon) or E400B/E401B (assistant) premiums, but note that these cannot be combined with the E420 trauma premium on the same service.

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Provider Fee$1,020.00

Surgical Assistant Fee$100.08

Anaesthetist Fee$154.90

Non-Anaesthetist Fee$154.90

Effective: April 1, 2025

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