All codes
N574
N574 – Above cord and conus (includes partial rib resection) - each level
OHIP Otolaryngology Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits
Removal of Vertebral Body including Pedicles for Osteotomy: Above cord and conus (includes partial rib resection) - each level. General rules for surgical procedures, anaesthesia, and surgical assistance from the General Preamble apply.
When to Use
- Use N574 for vertebral body resection (vertebrectomy) performed above the level of the conus medullaris, specifically when the procedure necessitates a partial rib resection for exposure.
- Select this code when performing a formal osteotomy that involves the removal of the vertebral body and pedicles, distinguishing it from simple decompression procedures like N571 or N572.
Common Pitfalls
- Billing N574 in conjunction with other spinal decompression codes for the same level is often flagged as unbundling; ensure the surgical report clearly justifies the distinct nature of the osteotomy.
- Failure to document the specific vertebral level and the necessity of the partial rib resection can lead to audit rejections, as the code explicitly includes the rib resection component.
Billing Tips
- Since N574 is billed 'each level', ensure the claim clearly indicates the number of levels treated to avoid payment for only a single unit when multiple levels were addressed.
- If the procedure is performed for trauma, ensure the Injury Severity Score (ISS) is documented in the chart to support the application of the E420 trauma premium.
Provider Fee$1,020.00
Surgical Assistant Fee$112.59
Anaesthetist Fee$201.37
Non-Anaesthetist Fee$201.37
Effective: April 1, 2025
Category
Z. Spinal Surgical Procedures
Subcategory
SPINAL SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
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