These are the most commonly used Spinal surgical procedures OHIP billing codes. To find other billing codes search the OHIP fee schedule here .
| 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 | – | – | |
| 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 | – | – | |
| E362 - Thoracic includes thoracotomy combined thoracotomy/laparotomy, to N502 or N503 . . . Add | $153.00 | – | – | |
| 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 | – | – | |
| 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 | – | – | |
| E362 - Thoracic includes thoracotomy combined thoracotomy/laparotomy, to N502 or N503 . . . Add | $153.00 | – | – | |
| 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 | – | – | |
| E363 - Cervical without instrumentation . . . One disc level, to N500 or N501 . . . Add | $357.00 | – | – | |
| E364 - Cervical without instrumentation Each additional disc level fused, to E363 . . . Add | $102.00 | – | – | |
| E365 - Cervical with instrumentation including cages one disc level, to N500, N501, N572, N560 or N561 . . . Add | $765.00 | – | – | |
| E366 - Cervical with instrumentation including cages each additional disc level fused, to E365 . . . Add | $153.00 | – | – | |
| E367 - Thoracic/Lumbar without instrumentation one disc level, to N502, N503, N504, N505, N506, N507, N508 or N579 . . . Add | $255.00 | – | – | |
| 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 | – | – | |
| 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 | – | – | |
| 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 | – | – | |
| 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 | – | – | |
| 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 | – | – | |
| E366 - Cervical with instrumentation including cages each additional disc level fused, to E365 . . . Add | $153.00 | – | – | |
| 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 | – | – | |
| E382 - All levels spinal duroplasty using autologous/allogenic/synthetic tissue . . . Add | $244.80 | – | – | |
| E366 - Cervical with instrumentation including cages each additional disc level fused, to E365 . . . Add | $153.00 | – | – | |
| 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 | – | – | |
| E361 - Cervical / Thoracic each additional level decompressed including disc excision unilateral or bilateral, to N509 or N510. . . Add | $255.00 | – | – | |
| 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 | – | – | |
| E368 - Cervical / Thoracic first disc excision, to N509, N510 or N520. . . add | $306.00 | – | – | |
| 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 | – | – | |
| 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 | – | – | |
| N571 | Lumbar - Percutaneous discotomy | $255.00 | 8 | 6 |
| E385 - Lumbar each additional level of percutaneous discotomy, to N571 . . . Add | $71.40 | – | – | |
| 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 | – | – | |
| E366 - Cervical with instrumentation including cages each additional disc level fused, to E365 . . . Add | $153.00 | – | – | |
| E378 - All levels 3D stereotactic spinal procedure . . . Add | $510.00 | – | – | |
| E379 - All levels 2D stereotactic spinal procedure . . . Add | $510.00 | – | – | |
| E369 - Cervical, Thoracic & Lumbar … without instrumentation one disc level, to N509, N510, N520, N511 or N512 . . . Add | $255.00 | – | – | |
| 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 | – | – | |
| 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 | – | – | |
| E371 - Cervical … with instrumentation by same surgeon fusion to occiput, to E384 . . . Add | $816.00 | – | – | |
| E377 - Cervical … with instrumentation by same surgeon cervicothoracic junction, to N509, N510, E370, N572, N574, N560 or N561 . . . Add | $255.00 | – | – | |
| N528 | Cervical … with instrumentation - by separate surgeon - C1/C2 screw fixation (transarticular, pedicle, lateral mass) | $1,020.00 | – | – |
| E371 - Cervical … with instrumentation by same surgeon fusion to occiput, to E384 . . . Add | $816.00 | – | – | |
| N513 | Cervical … with instrumentation - by separate surgeon - One disc level below C2 | $867.00 | – | – |
| E366 - Cervical with instrumentation including cages each additional disc level fused, to E365 . . . Add | $153.00 | – | – | |
| E378 - All levels 3D stereotactic spinal procedure . . . Add | $510.00 | – | – | |
| E379 - All levels 2D stereotactic spinal procedure . . . Add | $510.00 | – | – | |
| 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 | – | – | |
| E377 - Cervical … with instrumentation by same surgeon cervicothoracic junction, to N509, N510, E370, N572, N574, N560 or N561 . . . Add | $255.00 | – | – | |
| E387 - Thoracic & Lumbar … with instrumentation by same surgeon fusion to sacrum, to N511, N512, N575, N576, N560 or N561 . . . Add | $153.00 | – | – | |
| E372 - Posterior Interbody Implant/Graft/Nuclear Replacement one disc level, to N511, N512 or N513 . . . Add | $510.00 | – | – | |
| E376 - Posterior Interbody Implant/Graft/Nuclear Replacement each additional disc level stabilized, to E372 . . . Add | $255.00 | – | – | |
| 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 | – | – | |
| 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 | – | – | |
| 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 | – | – | |
| E371 - Cervical … with instrumentation by same surgeon fusion to occiput, to E384 . . . Add | $816.00 | – | – | |
| E377 - Cervical … with instrumentation by same surgeon cervicothoracic junction, to N509, N510, E370, N572, N574, N560 or N561 . . . Add | $255.00 | – | – | |
| 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 | – | – | |
| E387 - Thoracic & Lumbar … with instrumentation by same surgeon fusion to sacrum, to N511, N512, N575, N576, N560 or N561 . . . Add | $153.00 | – | – | |
| 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 | – | – |
| F201 | Closed reduction, fracture/dislocation (Halo or caliper traction) | $280.50 | 6 | 6 |
| E383 - All levels acute spinal cord injury premium . . . Add | $255.00 | – | – | |
| 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 | – | – | |
| E362 - Thoracic includes thoracotomy combined thoracotomy/laparotomy, to N502 or N503 . . . Add | $153.00 | – | – | |
| E378 - All levels 3D stereotactic spinal procedure . . . Add | $510.00 | – | – | |
| E379 - All levels 2D stereotactic spinal procedure . . . Add | $510.00 | – | – | |
| E395 - open reduction, additional level, spine fracture/ dislocation, anterior/posterior, to N572 . . . Add | $306.00 | – | – | |
| N573 | Anterior odontoid screw fixation | $1,020.00 | 11 | 8 |
| E378 - All levels 3D stereotactic spinal procedure . . . Add | $510.00 | – | – | |
| E379 - All levels 2D stereotactic spinal procedure . . . Add | $510.00 | – | – | |
| 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 | – | – | |
| E391 - vertebroplasty, each additional level, to N570 or E388 . . . Add | $252.95 | – | – | |
| 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 | – | – | |
| E393 - kyphoplasty, each additional level, to N583 or E392 . . . Add | $510.00 | – | – | |
| 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 | – | – | |
| E382 - All levels spinal duroplasty using autologous/allogenic/synthetic tissue . . . Add | $244.80 | – | – | |
| 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 | – | – | |
| E378 - All levels 3D stereotactic spinal procedure . . . Add | $510.00 | – | – | |
| E379 - All levels 2D stereotactic spinal procedure . . . Add | $510.00 | – | – | |
| E387 - Thoracic & Lumbar … with instrumentation by same surgeon fusion to sacrum, to N511, N512, N575, N576, N560 or N561 . . . Add | $153.00 | – | – | |
| E389 - each additional level of scoliosis correction over six levels, to N540 . . . add | $102.00 | – | – | |
| E390 - halo fixation/traction pre or perioperative, to N539 or N540 . . . add | $255.00 | – | – | |
| N568 | Removal of anterior instrumentation | $306.00 | 8 | 8 |
| N541 | Removal of posterior instrumentation | $255.00 | 8 | 8 |
| Z940 | Vertebral needle biopsy | $177.05 | – | 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 | – | – |
| Z944 | Lumbar subarachnoid drainage of CSF | $89.75 | – | – |
| 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 | – | – | |
| 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 | – | – | |
| N555 | Insertion / revision of implantable infusion pump | $510.00 | 8 | – |
| 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 | – | – |
| E396 - Percutaneous vertebral facet medial branch or sacral lateral branch neurotomy each additional site to N556 . . . Add | $0.00 | – | – | |
| N534 | Percutaneous radio frequency posterior dorsal root rhizotomy any number of levels | $0.00 | – | – |
| 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 | – | – | |
| 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 | – | – | |
| E382 - All levels spinal duroplasty using autologous/allogenic/synthetic tissue . . . Add | $244.80 | – | – | |
| E361 - Cervical / Thoracic each additional level decompressed including disc excision unilateral or bilateral, to N509 or N510. . . Add | $255.00 | – | – | |
| 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 | – | – | |
| 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 | – |
| N538 | Repair of myelomeningocoele (two surgeons) - reconstructive surgeon | $632.40 | – | – |
| 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 | – | 6 |