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N572 – Open reduction, spine fracture/dislocation

OHIP Spinal Surgical Procedures Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits

N572 is for the open reduction of a single-level spine fracture or dislocation, using either an anterior or posterior approach. As per the Schedule of Benefits notes, this procedure includes any necessary decompressive services at the level of the fracture, which are not separately billable. However, fusion procedures performed during the same operation are eligible for additional payment. Several add-on codes can be billed with N572 for specific circumstances, including E395 for an additional level, E383 for acute spinal cord injury, E362 for a combined thoracotomy/laparotomy approach, and E378 or E379 for stereotactic guidance.

Decompressive services at the level of the fracture are not eligible for payment when rendered with N572 as they are included in the open reduction.

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