OHIP Billing Codes

Specialty: Cranial

Code	Description	Anes	Asst	Fee
Search a description within this chart
N102	Craniotomy plus excision - Meningioma and other tumourous lesions, including pituitary tumours - supratentorial	15	15	1900.3
	E902 - lesion greater than 2 cm diameter - add			463.3
	E903 - team fee for acoustic neuroma, same approach - add			627.05
N103	Craniotomy plus excision - Astrocytoma, oligodendroglioma, glioblastoma or metastatic tumour - supratentorial	15	15	1719.95
N104	Craniotomy plus removal - supratentorial	15	15	1254.7
N105	Intracranial aneurysm repair - Craniotomy approaches - Carotid circulation pervessel	20	15	2527.25
	E898 - lesion greater than 2.5 cm - add			289.5
	E908 - removal of intracerebral and/or subdural haematoma in conjunction with a ruptured intracranial aneurysm or arteriovenous malformation - add			310.4
	E979 - clinoidal drilling for complex aneurysms - add			404.65
N106	Cerebral vascular malformation - Craniotomy - supratentorial	20	15	2046.35
	E895 - of cerebral arteriovenous malformation greater than 4 cm - add			381.3
	E901 - with operating microscope - add			239.35
N107	Cerebral arteriovenous malformation - Endovascular approach for obliteration - Endovascular approach to include balloon catheter or embolization techniques for arteriovenous malformation	15	15	1486.25
N108	Carotid-cavernous fistula - Obliteration of intracranial dural arteriovenous fistula (including carotid cavernous fistula) to include craniotomy and combined cervical and intracranial procedure	15	15	1254.25
N109	Burr hole - Hemispherectomy	15	15	1916.1
N110	Burr hole - Lobectomy and/or excision of cortical scar for epilepsy	15	15	2228.1
N111	Pituitary lesion(s) - Transsphenoidal microscopic resection of lesion(s) originating in the sella turcica requiring simple closure, repair and/or reconstruction of surgical defect(s)	20		1916.75
	E886 - extended endonasal endoscopic approach - add			816.1
	E887 - resection of pituitary lesion(s) extending beyond the sella turcica to the optic nerve(s), optic chiasm or hypothalamus - add			510.05
	E892 - harvesting of pedicled vascular flap(s) greater than 3cm in size for use in complex endoscopic closure, repair and/or reconstruction of surgical defect(s) - add			510.05
	E893 - complex closure, repair and/or reconstruction of surgical defect(s) - includes duroplasty when rendered - add			566.15
	E905 - endonasal endoscopic or microscopic approach for surgical access to sella turcica - add			765.1
	E919 - intracranial duroplasty (greater than 2 cm diameter) to any intracranial procedure - add			259.55
	E921 - repeat cranial procedure payable in addition to any intracranial procedure - add			267.4
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N112	Surgeon not rendering resection of lesion(s) - Endonasal endoscopic or microscopic approach for surgical access to sella turcica	0		1387.35
	E886 - extended endonasal endoscopic approach - add			816.1
	E892 - harvesting of pedicled vascular flap(s) greater than 3cm in size for use in complex endoscopic closure, repair and/or reconstruction of surgical defect(s) - add			510.05
	E893 - complex closure, repair and/or reconstruction of surgical defect(s) - includes duroplasty when rendered - add			566.15
N113	Burr hole - Craniotomy for brain biopsy (other than for tumour)	11	11	1039.65
N114	Pituitary lesion(s) - Transsphenoidal endonasal endoscopic resection of lesion(s) originating in the sella turcica requiring simple closure, repair and/or reconstruction of surgical defect(s)	20		1777.45
	E886 - extended endonasal endoscopic approach - add			816.1
	E887 - resection of pituitary lesion(s) extending beyond the sella turcica to the optic nerve(s), optic chiasm or hypothalamus - add			510.05
	E889 - complex endonasal endoscopic resection from cranial nerves - add			530.45
	E891 - complex endonasal endoscopic resection from frontal or temporal lobe or brainstem - add			530.45
	E892 - harvesting of pedicled vascular flap(s) greater than 3cm in size for use in complex endoscopic closure, repair and/or reconstruction of surgical defect(s) - add			510.05
	E893 - complex closure, repair and/or reconstruction of surgical defect(s) - includes duroplasty when rendered - add			566.15
	E905 - endonasal endoscopic or microscopic approach for surgical access to sella turcica - add			765.1
	E919 - intracranial duroplasty (greater than 2 cm diameter) to any intracranial procedure - add			259.55
	E921 - repeat cranial procedure payable in addition to any intracranial procedure - add			267.4
N115	Burr hole - aspiration	7	7	590.5
N116	Non-pituitary lesion(s) - Endonasal endoscopic resection of nonpituitary lesion(s) not originating from pituitary tissue requiring simple closure, repair and/or reconstruction of surgical defect(s)	20		2288.55
	E886 - extended endonasal endoscopic approach - add			816.1
	E888 - resection of nonpituitary lesion(s) involving the sellar region that extends to the optic nerve(s), optic chiasm or hypothalamus - add			510.05
	E889 - complex endonasal endoscopic resection from cranial nerves - add			530.45
	E891 - complex endonasal endoscopic resection from frontal or temporal lobe or brainstem - add			530.45
	E892 - harvesting of pedicled vascular flap(s) greater than 3cm in size for use in complex endoscopic closure, repair and/or reconstruction of surgical defect(s) - add			510.05
	E893 - complex closure, repair and/or reconstruction of surgical defect(s) - includes duroplasty when rendered - add			566.15
	E905 - endonasal endoscopic or microscopic approach for surgical access to sella turcica - add			765.1
	E919 - intracranial duroplasty (greater than 2 cm diameter) to any intracranial procedure - add			259.55
	E921 - repeat cranial procedure payable in addition to any intracranial procedure - add			267.4
N117	Craniotomy	15	15	1444.95
N118	Carotid-cavernous fistula - Endovascular approach to include balloon catheter or embolization techniques for dural arteriovenous fistula including carotid cavernous fistula	15	15	971.2
N119	Functional stereotaxy - Intracranial implantation of chronic surface electrodes	11	11	1209.1
N120	Craniotomy plus removal - Burr hole plus drainage	15	15	491.6
N121	Cerebral vascular malformation - Extracranial-intracranial long venous bypass (from internal carotid in the neck or any of the trunk vessels in the neck or chest to a major intracerebral vessel, i.e. vertebral, internal carotid, middle cerebral)	15	15	1745.8
N122	Intracranial aneurysm repair - Endovascular approaches - Carotid circulation per vessel	20	15	2183.15
	E894 - aneurysm greater than 2.5 cm - add			234.15
N123	Burr hole - Stereotaxis intracranial (to include ventriculography)	11	11	570.85
	E896 - sophisticated microelectrode recording during stereotaxis - add			408.45
	E931 - with implantation (and removal) of radioactive sources into brain tumour - add			227.35
N124	Functional stereotaxy	11	9	2081.15
N125	Intracranial aneurysm repair - Endovascular approaches - Vertebrobasilar circulation, including aneurysm of vein of Galen	20	15	2183.15
	E894 - aneurysm greater than 2.5 cm - add			234.15
N126	Burr hole - Intraoral approach to lesions of the skull base and upper cervical spine	15	15	1471.95
N127	Burr hole - Re-opening of craniotomy for postoperative haematoma or for removal of bone flap	11	11	529.3
N128	Burr hole - Repair of encephalocoele	15	15	943.3
N129	Burr hole - Posterior fossa decompression for Arnold Chiari malformation	15	15	1310.8
	E901 - with operating microscope - add			239.35
N130	Burr hole - Craniotomy plus midline commissurotomy	15	15	1035.25
N139	Reduction of skull fracture - simple, depressed	7	7	647.65
N140	Reduction of skull fracture - compound	11	11	913
	E912 - with repair of dural laceration - add			238
N143	Extracerebral haematoma and/or hygroma - Drainage by burr hole(s) unilateral	7	7	660.8
N144	Extracerebral haematoma and/or hygroma - Drainage and/or removal by craniotomy	11	11	1019.4
N148	Removal of intracerebral haematoma and/or debridement of traumatized brain (includes management of any skull fracture)	15	15	1228.85
N149	Removal of foreign body from brain	15	15	987.95
N150	C.S.F. leak - intracranial repair (to include trans-sphenoidal approach)	15	15	1086.85
N151	Craniotomy plus excision - Astrocytoma, oligodendroglioma, glioblastoma or metastatic tumour - infratentorial	15	15	1900.3
N152	Craniotomy plus excision - Astrocytoma, oligodendroglioma, glioblastoma or metastatic tumour - Craniotomy plus lobectomy	15	15	1607.45
	E901 - with operating microscope - add			239.35
N153	Craniotomy plus excision - Meningioma and other tumourous lesions, including pituitary tumours - infratentorial or basal	15	15	2580.65
	E901 - with operating microscope - add			239.35
	E902 - lesion greater than 2 cm diameter - add			463.3
	E903 - team fee for acoustic neuroma, same approach - add			627.05
N154	Intracranial aneurysm repair - Craniotomy approaches - Vertebrobasilar circulation, including aneurysm of vein of Galen	20	15	2527.25
	E898 - lesion greater than 2.5 cm - add			289.5
	E901 - with operating microscope - add			239.35
	E908 - removal of intracerebral and/or subdural haematoma in conjunction with a ruptured intracranial aneurysm or arteriovenous malformation - add			310.4
	E979 - clinoidal drilling for complex aneurysms - add			404.65
N155	Cerebral vascular malformation - Craniotomy - infratentorial	20	15	2055.5
	E895 - of cerebral arteriovenous malformation greater than 4 cm - add			381.3
	E901 - with operating microscope - add			239.35
N156	Cerebral vascular malformation - Occipital artery	15	15	1254.25
	E904 - posterior fossa - add			245.85
N157	Craniotomy plus removal - infratentorial	15	15	1416.3
N158	Craniotomy plus evacuation - supratentorial	15	15	987.95
N159	Craniotomy plus evacuation - infratentorial	15	15	1086.45
N160	Craniotomy plus evacuation - Burr hole plus aspiration	15	15	435.55
N161	Repair of skull defect - Acrylic or metal cranioplasty	11	11	612.95
N162	Morcellation procedure - one suture	11	11	439.4
N163	Morcellation procedure - multiple sutures	15	15	627.05
N164	Lateral canthal advancement - Unilateral - one surgeon	15	15	710.35
N165	Lateral canthal advancement - Unilateral - two surgeons, major portion	15	15	439.4
N166	Lateral canthal advancement - Unilateral - two surgeons, lesser portion	0	15	352.3
N167	Lateral canthal advancement - Bilateral - one surgeon	15	15	971.7
N168	Lateral canthal advancement - Bilateral - two surgeons, major portion	15	15	627.05
N169	Lateral canthal advancement - Bilateral - two surgeons, lesser portion	0		470.35
N174	Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) - includesremoval of existing shunt	7	7	597.7
N183	Nerve graft - minor (sensory/cutaneous nerve)	6	6	480.5
	E906 - basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
	E925 - basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
N200	Decompressive craniectomy (frontal, subtemporal)	11	11	753.45
N201	Repair of skull defect - Rib graft cranioplasty (defect less than 7.5 cm)	15	15	873
N202	Repair of skull defect - Replacement of bone flap	11	11	551.8
N203	Repair of skull defect - Skull tumour, excision	11	11	416.5
N206	Craniosynostosis, linear craniectomy - one suture	11	11	439.4
N207	Craniosynostosis, linear craniectomy - multiple sutures	15	15	574.85
N208	Craniotomy - for craniofacial repair	15	15	936.6
	E922 - with repair of frontonasal encephalocele - add			219.7
N211	Craniotomy - plus removal of orbital tumour	15	15	1139.05
N212	Craniotomy - plus orbital decompression (roof of orbit with or without lateral wall)	15	15	1066.45
N213	Craniotomy - for decompression of optic nerve(s)	15	15	1139.05
	E901 - with operating microscope - add			239.35
N218	Cerebral vascular malformation - Extracranialintracranial microvascular anastomosis superficial temporal artery	15	15	1391.45
N223	Vertebral endarterectomy	10	10	814.85
N230	CSF shunting procedures - all types	11	11	1048.05
N245	Revision of CSF shunt - operative - all types	7	7	597.7
N246	Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) - Removal of shunt any type	7	7	295.5
N249	Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) - Third ventriculostomy	11	11	1106.05
N258	Percutaneous coagulation or glyceral injection of gasserian (trigeminal) ganglion or root - unilateral	11		515.1
N259	V - Decompression or rhizotomy (partial or complete) trigeminal nerve	11	11	685.25
N265	VII - Differential section facial nerve for hemi-facial spasm (extracranial approach)	6	6	355.3
N266	Anastomosis hypoglossal or accessory to facial nerve	6	6	742.45
N267	Occipital and/or suboccipital craniectomy for compression, decompression or section of cranial nerves	11	11	1306.65
	E901 - with operating microscope - add			239.35
N269	XI - Division of nerves to sternomastoid in neck	7	6	298.1
N282	Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - Brachial plexus (excluding thoracic outlet syndrome or cervical rib)	6	6	1020.1
N283	Decompression, exploration for thoracic outlet syndrome including excision of cervical and/or first rib and to include scalenotomy	7	7	396.85
	E906 - basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
	E925 - basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
N286	Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - Tumour or neuroma major nerve	7	7	324.25
	E906 - basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
	E911 - implantation of neuroma into bone or muscle - add 40%
	E925 - basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
N287	Nerve suture - major (mixed sensory and motor nerve, or pure motor nerve)	7	7	510.05
	E906 - basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
	E925 - basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
N288	Nerve graft - major (mixed sensory and motor nerve, or pure motor nerve)	6	6	946.2
	E899 - for each additional cable - add			104.5
	E906 - basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
	E925 - basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
N289	Nerve suture - minor (sensory/cutaneous nerve)	7	7	255.05
	E906 - basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
	E925 - basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
N290	Decompression median nerve at wrist (carpal tunnel syndrome)	6	6	159.9
	E906 - basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
	E925 - basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
N295	Excision of Morton's or subcutaneous neuroma, glomus or small cutaneous nerve tumour	6	6	112.15
	E906 - basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
	E911 - implantation of neuroma into bone or muscle - add 40%
	E925 - basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
Z801	Revision of CSF shunt - non-operative	0		52.55
Z802	Ventricular puncture through previous burr hole or fontanelle or puncture and/or aspiration of cisterna	7		83.3
Z803	Subdural tap(s) - unilateral	0		54.15
Z807	Removal of Selverstone clamp	10	10	271.95
Z808	Progressive carotid occlusion by Selverstone clamp	10	10	324.25
Z809	Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) - Insertion of CSF reservoir (Ommaya) including burr holes	11	11	437.5
Z811	Intravenous drug test for pain	6		55.2
Z812	Ventriculoscopy - Subsequent revisions or replacements within 30 days - Each	7	6	285.15
Z813	Burr hole - plus needling of brain for biopsy	7	7	572.1
Z815	Temporal artery - biopsy, ligation or cryosurgery	6		204
Z816	Implantation of electrode for peripheral nerve stimulation	6	6	245.85
	E906 - basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
	E925 - basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
Z818	Burr hole - subsequent aspiration through existing burr hole within 30 days	0		219.7
Z820	Ventriculoscopy - Insertion of intracranial catheter or transducer for purposes of monitoring	7		375.35
Z821	Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) - Injection of diagnostic or therapeutic agent into shunt apparatus	0		54.15
Z823	Functional stereotaxy - Implantation or revision of stimulation pack or leads (peripheral nerve, brain)	8	8	412.45
	E906 - basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
	E925 - basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
Z824	Functional stereotaxy - Removal of chronic surface or depth electrodes	0		271.95
Z825	Ventriculoscopy - to include burr hole	7		745.9
	E916 - with biopsy - add			238
	E917 - with interventriculostomy - add			307.75
	E918 - with removal of foreign body - add			135.45
Z826	Inferior dental neurectomy	6	6	187.7
Z827	Infraorbital or supraorbital neurectomy	7	6	161.65

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