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N580
N580 – One disc level - Lumbar - laparotomy/retroperitoneal approach by separate surgeon
OHIP Spinal Surgical Procedures Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits
Anterior spinal arthrodesis for one lumbar disc level with instrumentation, performed without decompression. This code is specifically used when the laparotomy or retroperitoneal approach is performed by a separate surgeon.
Billing and Service Components:
• Additional Levels: For each additional disc level fused during the same operation, use add-on code E366.
• Surgical Assistant: The fee for an assistant (N580B) is based on 7 base units plus time units. See - for calculation rules.
• Anaesthesia: The fee for anaesthesia (N580C) is based on 10 base units plus time units, with potential for extra units based on patient factors (e.g., age, ASA status). See - for calculation rules.
General Rules:
• This service includes all common elements of insured services as defined in -.
• When rendered by a Medical Trainee, payment is subject to the rules for Supervision of Postgraduate Medical Trainees (-).
All insured services must be documented in appropriate records. The Act requires that the record establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.
Lumbar - laparotomy/retroperitoneal approach by separate surgeon
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