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N582

N582One disc level

OHIP Otolaryngology Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits

Performs a posterior spinal arthrodesis with instrumentation for a single lumbar disc level. This is the primary procedure for this type of fusion. For fusion of additional levels, use E366. For fusion extending to the sacrum, use E387 in addition to N582.

When to Use

  • Use N582 as the primary code for a single-level posterior lumbar spinal arthrodesis involving instrumentation.
  • Use N582 when performing the base procedure before adding E366 for every additional lumbar disc level fused.
  • Use N582 in conjunction with E387 when the fusion construct specifically extends to the sacrum.

Common Pitfalls

  • Billing N582 multiple times for multi-level procedures instead of using the base code N582 plus the appropriate number of E366 units.
  • Failing to document the specific instrumentation used, which is a mandatory requirement for the N582 fee classification.
  • Attempting to bill N582 with other spinal procedure codes that are considered inclusive or mutually exclusive under the Schedule of Benefits.

Billing Tips

  • Always append E366 for each additional level beyond the first to ensure you are compensated for the full extent of the multi-level fusion.
  • Verify that your operative report clearly distinguishes between the primary level (N582) and subsequent levels (E366) to prevent audit rejections.
Provider Fee$1,020.00
Surgical Assistant Fee$112.59
Anaesthetist Fee$232.35
Non-Anaesthetist Fee$232.35

Effective: April 1, 2025

Category

Z. Spinal Surgical Procedures

Subcategory

SPINAL SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Spinal Surgical Procedures

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