Spinal surgical procedures OHIP billing codes


All codes

Code Description Amount Ans Units Assist Units
N500 Cervical - Disc excision (one level) $918.00 10 9
N501 Cervical - Vertebrectomy (removal of vertebral body and excision of adjacent discs) $1,020.00 10 9
E360 - Cervical each additional level decompression, to N500 or N501 . . . Add $306.00 N/A N/A
N569 Cervical - Anterior cervical decompression by intraoral approach $1,442.95 15 15
N502 Thoracic - includes thoracotomy - Disc excision (one level) $1,530.00 15 11
N503 Thoracic - includes thoracotomy - Vertebrectomy (removal of vertebral body and excision of adjacent discs) $1,836.00 17 12
E360 - Cervical each additional level decompression, to N500 or N501 . . . Add $306.00 N/A N/A
E362 - Thoracic includes thoracotomy combined thoracotomy/laparotomy, to N502 or N503 . . . Add $153.00 N/A N/A
N504 Thoracic - thoracotomy by separate surgeon - Disc excision (one level) $1,122.00 15 11
N505 Thoracic - thoracotomy by separate surgeon - Vertebrectomy (removal of vertebral body and excision of adjacent discs) $1,428.00 17 12
E360 - Cervical each additional level decompression, to N500 or N501 . . . Add $306.00 N/A N/A
N506 Lumbar - includes laparotomy/retroperitoneal approach - Disc excision (one level) $1,224.00 13 9
N507 Lumbar - includes laparotomy/retroperitoneal approach - Vertebrectomy (removal of vertebral body and excision of adjacent discs) $1,734.00 15 10
E360 - Cervical each additional level decompression, to N500 or N501 . . . Add $306.00 N/A N/A
E362 - Thoracic includes thoracotomy combined thoracotomy/laparotomy, to N502 or N503 . . . Add $153.00 N/A N/A
N508 Lumbar - laparotomy/retroperitoneal approach by separate surgeon - Disc excision (one level) $918.00 13 9
N579 Lumbar - laparotomy/retroperitoneal approach by separate surgeon - Vertebrectomy (removal of vertebral body and excision of adjacent discs) $1,428.00 15 10
E360 - Cervical each additional level decompression, to N500 or N501 . . . Add $306.00 N/A N/A
E363 - Cervical without instrumentation . . . One disc level, to N500 or N501 . . . Add $357.00 N/A N/A
E364 - Cervical without instrumentation Each additional disc level fused, to E363 . . . Add $102.00 N/A N/A
E365 - Cervical with instrumentation including cages one disc level, to N500, N501, N572, N560 or N561 . . . Add $765.00 N/A N/A
E366 - Cervical with instrumentation including cages each additional disc level fused, to E365 . . . Add $153.00 N/A N/A
E367 - Thoracic/Lumbar without instrumentation one disc level, to N502, N503, N504, N505, N506, N507, N508 or N579 . . . Add $255.00 N/A N/A
N526 Artificial Disc Insertion - Artificial disc insertion (includes approach) $2,040.00 17 11
N525 Artificial Disc Insertion - Artificial disc insertion (approach by separate surgeon) $1,734.00 15 10
E394 - Artificial Disc Insertion each additional level replaced, to N526 or N525 . . . Add $765.00 N/A N/A
N516 Cervical - One disc level $510.00 10 7
E366 - Cervical with instrumentation including cages each additional disc level fused, to E365 . . . Add $153.00 N/A N/A
N517 Thoracic - includes thoracotomy - One disc level $1,224.00 13 9
E366 - Cervical with instrumentation including cages each additional disc level fused, to E365 . . . Add $153.00 N/A N/A
N518 Thoracic - thoracotomy by separate surgeon - One disc level $765.00 13 9
E366 - Cervical with instrumentation including cages each additional disc level fused, to E365 . . . Add $153.00 N/A N/A
N559 Lumbar - includes laparotomy/retroperitioneal approach - One disc level $1,122.00 13 7
E362 - Thoracic includes thoracotomy combined thoracotomy/laparotomy, to N502 or N503 . . . Add $153.00 N/A N/A
E366 - Cervical with instrumentation including cages each additional disc level fused, to E365 . . . Add $153.00 N/A N/A
N580 Lumbar - laparotomy/retroperitoneal approach by separate surgeon - One disc level $765.00 10 7
E383 - All levels acute spinal cord injury premium . . . Add $255.00 N/A N/A
E382 - All levels spinal duroplasty using autologous/allogenic/synthetic tissue . . . Add $244.80 N/A N/A
E366 - Cervical with instrumentation including cages each additional disc level fused, to E365 . . . Add $153.00 N/A N/A
N521 All levels - Re-opening of laminectomy for post-op haematoma/infection $357.00 8 7
N522 All levels - Re-opening of laminectomy for repair of CSF leak $535.50 8 7
N509 Cervical / Thoracic - One level - unilateral $1,004.70 12 9
N510 Cervical / Thoracic - One level - bilateral $1,208.70 17 9
E374 - Cervical / Thoracic foramen magnum decompression < 3cm as part of cervical decompression, to N510 . . . Add $357.00 N/A N/A
E361 - Cervical / Thoracic each additional level decompressed including disc excision unilateral or bilateral, to N509 or N510. . . Add $255.00 N/A N/A
N520 Cervical / Thoracic - One level - laminoplasty (includes fixation of lamina) $1,514.70 14 9
E380 - Cervical / Thoracic each additional level laminoplasty (includes fixation of lamina), to N520 . . . add $357.00 N/A N/A
E368 - Cervical / Thoracic first disc excision, to N509, N510 or N520. . . add $306.00 N/A N/A
N511 Lumbar - One level - unilateral $800.70 15 8
N512 Lumbar - One level - bilateral $1,004.70 15 8
E368 - Cervical / Thoracic first disc excision, to N509, N510 or N520. . . add $306.00 N/A N/A
N524 Lumbar - One level bilateral canal enlargement - unilateral approach $1,208.70 15 9
E361 - Cervical / Thoracic each additional level decompressed including disc excision unilateral or bilateral, to N509 or N510. . . Add $255.00 N/A N/A
N571 Lumbar - Percutaneous discotomy $255.00 8 6
E385 - Lumbar each additional level of percutaneous discotomy, to N571 . . . Add $71.40 N/A N/A
N574 Removal of Vertebral Body including Pedicles for Osteotomy - Above cord and conus (includes partial rib resection) each level $1,020.00 13 9
N575 Removal of Vertebral Body including Pedicles for Osteotomy - Below conus each level $765.00 9 9
N576 Removal of Vertebral Body including Pedicles for Osteotomy - Smith Peterson Osteotomy each level $255.00 9 9
E364 - Cervical without instrumentation Each additional disc level fused, to E363 . . . Add $102.00 N/A N/A
E366 - Cervical with instrumentation including cages each additional disc level fused, to E365 . . . Add $153.00 N/A N/A
E378 - All levels 3D stereotactic spinal procedure . . . Add $510.00 N/A N/A
E379 - All levels 2D stereotactic spinal procedure . . . Add $510.00 N/A N/A
E369 - Cervical, Thoracic & Lumbar … without instrumentation one disc level, to N509, N510, N520, N511 or N512 . . . Add $255.00 N/A N/A
E384 - Cervical … with instrumentation by same surgeon C1/C2 screw fixation (transarticular, pedicle, lateral mass), to N509, N510, N560, N561or N572 . . . Add $1,020.00 N/A N/A
E370 - Cervical … with instrumentation by same surgeon one disc level below C2, to N509, N510, N572, N574, N575, N576, N560 or N561 . . . Add $867.00 N/A N/A
E371 - Cervical … with instrumentation by same surgeon fusion to occiput, to E384 . . . Add $816.00 N/A N/A
E377 - Cervical … with instrumentation by same surgeon cervicothoracic junction, to N509, N510, E370, N572, N574, N560 or N561 . . . Add $255.00 N/A N/A
N528 Cervical … with instrumentation - by separate surgeon - C1/C2 screw fixation (transarticular, pedicle, lateral mass) $1,020.00 N/A N/A
E371 - Cervical … with instrumentation by same surgeon fusion to occiput, to E384 . . . Add $816.00 N/A N/A
N513 Cervical … with instrumentation - by separate surgeon - One disc level below C2 $867.00 N/A N/A
E366 - Cervical with instrumentation including cages each additional disc level fused, to E365 . . . Add $153.00 N/A N/A
E378 - All levels 3D stereotactic spinal procedure . . . Add $510.00 N/A N/A
E379 - All levels 2D stereotactic spinal procedure . . . Add $510.00 N/A N/A
E370 - Cervical … with instrumentation by same surgeon one disc level below C2, to N509, N510, N572, N574, N575, N576, N560 or N561 . . . Add $867.00 N/A N/A
E377 - Cervical … with instrumentation by same surgeon cervicothoracic junction, to N509, N510, E370, N572, N574, N560 or N561 . . . Add $255.00 N/A N/A
E387 - Thoracic & Lumbar … with instrumentation by same surgeon fusion to sacrum, to N511, N512, N575, N576, N560 or N561 . . . Add $153.00 N/A N/A
E372 - Posterior Interbody Implant/Graft/Nuclear Replacement one disc level, to N511, N512 or N513 . . . Add $510.00 N/A N/A
E376 - Posterior Interbody Implant/Graft/Nuclear Replacement each additional disc level stabilized, to E372 . . . Add $255.00 N/A N/A
N519 Cervical & Thoracic … without instrumentation - C1/C2 fusion using graft/posterior wires $612.00 10 8
N514 Cervical & Thoracic … without instrumentation - One disc level below C2 $408.00 10 7
E364 - Cervical without instrumentation Each additional disc level fused, to E363 . . . Add $102.00 N/A N/A
N581 Lumbar … without instrumentation - One disc level $408.00 10 7
E364 - Cervical without instrumentation Each additional disc level fused, to E363 . . . Add $102.00 N/A N/A
N532 Cervical & Thoracic … with instrumentation - C1/C2 screw fixation (transarticular, pedicle, lateral mass) $1,224.00 11 9
N515 Cervical & Thoracic … with instrumentation - One disc level below C2 $1,224.00 11 9
E366 - Cervical with instrumentation including cages each additional disc level fused, to E365 . . . Add $153.00 N/A N/A
E371 - Cervical … with instrumentation by same surgeon fusion to occiput, to E384 . . . Add $816.00 N/A N/A
E377 - Cervical … with instrumentation by same surgeon cervicothoracic junction, to N509, N510, E370, N572, N574, N560 or N561 . . . Add $255.00 N/A N/A
N582 Lumbar … with instrumentation - One disc level $1,020.00 15 9
E366 - Cervical with instrumentation including cages each additional disc level fused, to E365 . . . Add $153.00 N/A N/A
E387 - Thoracic & Lumbar … with instrumentation by same surgeon fusion to sacrum, to N511, N512, N575, N576, N560 or N561 . . . Add $153.00 N/A N/A
N533 Lumbar … with instrumentation - Pars reconstruction for spondylolysis $1,020.00 11 9
F200 No reduction, brace (includes Halo orthosis), total care by operating surgeon $178.50 N/A N/A
F201 Closed reduction, fracture/dislocation (Halo or caliper traction) $280.50 6 6
E383 - All levels acute spinal cord injury premium . . . Add $255.00 N/A N/A
N572 Open reduction, any single level, spine fracture/dislocation, anterior/posterior $1,020.00 11 8
E383 - All levels acute spinal cord injury premium . . . Add $255.00 N/A N/A
E362 - Thoracic includes thoracotomy combined thoracotomy/laparotomy, to N502 or N503 . . . Add $153.00 N/A N/A
E378 - All levels 3D stereotactic spinal procedure . . . Add $510.00 N/A N/A
E379 - All levels 2D stereotactic spinal procedure . . . Add $510.00 N/A N/A
E395 - open reduction, additional level, spine fracture/ dislocation, anterior/posterior, to N572 . . . Add $306.00 N/A N/A
N573 Anterior odontoid screw fixation $1,020.00 11 8
E378 - All levels 3D stereotactic spinal procedure . . . Add $510.00 N/A N/A
E379 - All levels 2D stereotactic spinal procedure . . . Add $510.00 N/A N/A
N570 Vertebroplasty (injection of bone cement) as sole procedure, first level $569.15 9 7
E388 - vertebroplasty combined with any other procedure, first level, to other procedure . . . Add $204.00 N/A N/A
E391 - vertebroplasty, each additional level, to N570 or E388 . . . Add $252.95 N/A N/A
N583 Kyphoplasty (balloon tamp and injection of bone cement) as sole procedure, first level $1,201.55 11 8
E392 - kyphoplasty combined with any other procedure, first level, to other procedure . . . Add $510.00 N/A N/A
E393 - kyphoplasty, each additional level, to N583 or E392 . . . Add $510.00 N/A N/A
N553 Simple soft tissue tumour excision under 5cm $204.00 8 6
N554 Radical soft tissue tumour excision 5cm and greater $484.50 13 9
N549 Spinal osteomyelitis - incision and drainage including sequestrectomy, anterior approach $632.40 10 7
N548 Spinal osteomyelitis - incision and drainage only, posterior approach $102.00 7 6
N550 Spinal osteomyelitis - sequestrectomy, posterior approach $357.00 6 6
N560 Intradural extramedullary spinal tumour(s) partial or total removal $1,530.00 10 8
N561 Intradural intramedullary spinal tumour(s) partial or total removal $1,765.75 12 9
E383 - All levels acute spinal cord injury premium . . . Add $255.00 N/A N/A
E382 - All levels spinal duroplasty using autologous/allogenic/synthetic tissue . . . Add $244.80 N/A N/A
N539 Anterior scoliosis correction any number of levels (includes approach, disc excision and instrumentation) $3,060.00 20 12
N540 Posterior scoliosis correction up to six levels (includes approach, disc excision and instrumentation) $2,805.00 20 11
E383 - All levels acute spinal cord injury premium . . . Add $255.00 N/A N/A
E378 - All levels 3D stereotactic spinal procedure . . . Add $510.00 N/A N/A
E379 - All levels 2D stereotactic spinal procedure . . . Add $510.00 N/A N/A
E387 - Thoracic & Lumbar … with instrumentation by same surgeon fusion to sacrum, to N511, N512, N575, N576, N560 or N561 . . . Add $153.00 N/A N/A
E389 - each additional level of scoliosis correction over six levels, to N540 . . . add $102.00 N/A N/A
E390 - halo fixation/traction pre or perioperative, to N539 or N540 . . . add $255.00 N/A N/A
N568 Removal of anterior instrumentation $306.00 8 8
N541 Removal of posterior instrumentation $255.00 8 8
Z940 Vertebral needle biopsy $177.05 N/A 6
N546 Open vertebral biopsy - posterior approach sole procedure $244.80 7 6
N547 Open vertebral biopsy - anterior approach sole procedure $306.00 8 6
N551 Open vertebral biopsy - Excision spinous process sole procedure $229.50 6 6
N552 Open vertebral biopsy - Excision transverse process sole procedure $382.50 8 6
Z941 Percutaneous diagnostic stimulation of spinal cord, trigeminal nerve root and /or ganglion $331.50 8 6
Z942 Implantation or revision of stimulation pack or leads $306.00 8 6
Z943 Programming infusion pump or dorsal column stimulator $102.00 N/A N/A
Z944 Lumbar subarachnoid drainage of CSF $89.75 N/A N/A
N527 Percutaneous cordotomy or tractotomy $469.20 8 6
N529 Medullary spinal trigeminal tractotomy $1,020.00 15 10
E383 - All levels acute spinal cord injury premium . . . Add $255.00 N/A N/A
N564 Open myelotomy for lesion - unilateral or bilateral $1,020.00 10 8
N523 AV malformation of cord - excision/obliteration $1,530.00 13 10
E383 - All levels acute spinal cord injury premium . . . Add $255.00 N/A N/A
N555 Insertion / revision of implantable infusion pump $510.00 8 N/A
N530 Implantation of spinal cord stimulating electrode by laminectomy $816.00 10 8
N563 Implantation of permanent subcutaneous reservoir including laminectomy $510.00 11 11
N531 Removal of any stimulation pack or electrode $306.00 7 6
N556 Percutaneous vertebral facet medial branch or sacral lateral branch neurotomy - First site $0.00 N/A N/A
E396 - Percutaneous vertebral facet medial branch or sacral lateral branch neurotomy each additional site to N556 . . . Add $0.00 N/A N/A
N534 Percutaneous radio frequency posterior dorsal root rhizotomy any number of levels $0.00 N/A N/A
N542 Sympathectomy - unilateral - cervical $357.00 6 6
N543 Sympathectomy - unilateral - cervico-dorsal $586.50 10 10
N544 Sympathectomy - unilateral - thoracic-approach $433.50 13 9
N545 Sympathectomy - unilateral - lumbar $295.80 6 6
N557 Syringo-subarachnoid shunt $1,224.00 12 8
N558 Syringopleural/syringoperitoneal shunt $1,428.00 13 9
E383 - All levels acute spinal cord injury premium . . . Add $255.00 N/A N/A
N562 Intradural neurolysis of unusual lesions e.g. diastematomyelia, tethered conus, intramedullary haematoma, etc. including laminectomy $1,224.00 12 8
E383 - All levels acute spinal cord injury premium . . . Add $255.00 N/A N/A
E382 - All levels spinal duroplasty using autologous/allogenic/synthetic tissue . . . Add $244.80 N/A N/A
E361 - Cervical / Thoracic each additional level decompressed including disc excision unilateral or bilateral, to N509 or N510. . . Add $255.00 N/A N/A
N577 Intradural rhizotomy anterior/posterior (uni/bilateral) any number of roots $714.00 10 8
N578 Dorsal root entry zone lesions for pain relief – any number of levels $1,020.00 10 8
E382 - All levels spinal duroplasty using autologous/allogenic/synthetic tissue . . . Add $244.80 N/A N/A
N535 Repair of meningocoele $765.00 9 7
N536 Repair of myelomeningocoele (one surgeon) $765.00 9 7
N537 Repair of myelomeningocoele (two surgeons) - neurosurgeon $510.00 9 N/A
N538 Repair of myelomeningocoele (two surgeons) - reconstructive surgeon $632.40 N/A N/A
N565 Repair of lipomeningocoele including release of tethered cord $1,020.00 10 8
N566 Repair of anterior sacral meningocoele including release of tethered cord $1,020.00 10 8
N567 Repair of intraspinal meningocoele $1,020.00 10 8
E676B - Morbidly obese patient, surgical assistant, to major procedure . . . Add $0.00 N/A 6