OHIP Billing Codes

Specialty: Cranial

Code Description Fee
N102 Craniotomy plus excision - Meningioma and other tumourous lesions, including pituitary tumours - supratentorial 1900.3
N103 Craniotomy plus excision - Astrocytoma, oligodendroglioma, glioblastoma or metastatic tumour - supratentorial 1719.95
N104 Craniotomy plus removal - supratentorial 1254.7
N105 Intracranial aneurysm repair - Craniotomy approaches - Carotid circulation pervessel 2527.25
N106 Cerebral vascular malformation - Craniotomy - supratentorial 2046.35
N107 Cerebral arteriovenous malformation - Endovascular approach for obliteration - Endovascular approach to include balloon catheter or embolization techniques for arteriovenous malformation 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 1254.25
N109 Burr hole - Hemispherectomy 1916.1
N110 Burr hole - Lobectomy and/or excision of cortical scar for epilepsy 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) 1916.75

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N112 Surgeon not rendering resection of lesion(s) - Endonasal endoscopic or microscopic approach for surgical access to sella turcica 1387.35
N113 Burr hole - Craniotomy for brain biopsy (other than for tumour) 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) 1777.45
N115 Burr hole - aspiration 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) 2288.55
N117 Craniotomy 1444.95
N118 Carotid-cavernous fistula - Endovascular approach to include balloon catheter or embolization techniques for dural arteriovenous fistula including carotid cavernous fistula 971.2
N119 Functional stereotaxy - Intracranial implantation of chronic surface electrodes 1209.1
N120 Craniotomy plus removal - Burr hole plus drainage 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) 1745.8
N122 Intracranial aneurysm repair - Endovascular approaches - Carotid circulation per vessel 2183.15
N123 Burr hole - Stereotaxis intracranial (to include ventriculography) 570.85
N124 Functional stereotaxy 2081.15
N125 Intracranial aneurysm repair - Endovascular approaches - Vertebrobasilar circulation, including aneurysm of vein of Galen 2183.15
N126 Burr hole - Intraoral approach to lesions of the skull base and upper cervical spine 1471.95
N127 Burr hole - Re-opening of craniotomy for postoperative haematoma or for removal of bone flap 529.3
N128 Burr hole - Repair of encephalocoele 943.3
N129 Burr hole - Posterior fossa decompression for Arnold Chiari malformation 1310.8
N130 Burr hole - Craniotomy plus midline commissurotomy 1035.25
N139 Reduction of skull fracture - simple, depressed 647.65
N140 Reduction of skull fracture - compound 913
N143 Extracerebral haematoma and/or hygroma - Drainage by burr hole(s) unilateral 660.8
N144 Extracerebral haematoma and/or hygroma - Drainage and/or removal by craniotomy 1019.4
N148 Removal of intracerebral haematoma and/or debridement of traumatized brain (includes management of any skull fracture) 1228.85
N149 Removal of foreign body from brain 987.95
N150 C.S.F. leak - intracranial repair (to include trans-sphenoidal approach) 1086.85
N151 Craniotomy plus excision - Astrocytoma, oligodendroglioma, glioblastoma or metastatic tumour - infratentorial 1900.3
N152 Craniotomy plus excision - Astrocytoma, oligodendroglioma, glioblastoma or metastatic tumour - Craniotomy plus lobectomy 1607.45
N153 Craniotomy plus excision - Meningioma and other tumourous lesions, including pituitary tumours - infratentorial or basal 2580.65
N154 Intracranial aneurysm repair - Craniotomy approaches - Vertebrobasilar circulation, including aneurysm of vein of Galen 2527.25
N155 Cerebral vascular malformation - Craniotomy - infratentorial 2055.5
N156 Cerebral vascular malformation - Occipital artery 1254.25
N157 Craniotomy plus removal - infratentorial 1416.3
N158 Craniotomy plus evacuation - supratentorial 987.95
N159 Craniotomy plus evacuation - infratentorial 1086.45
N160 Craniotomy plus evacuation - Burr hole plus aspiration 435.55
N161 Repair of skull defect - Acrylic or metal cranioplasty 612.95
N162 Morcellation procedure - one suture 439.4
N163 Morcellation procedure - multiple sutures 627.05
N164 Lateral canthal advancement - Unilateral - one surgeon 710.35
N165 Lateral canthal advancement - Unilateral - two surgeons, major portion 439.4
N166 Lateral canthal advancement - Unilateral - two surgeons, lesser portion 352.3
N167 Lateral canthal advancement - Bilateral - one surgeon 971.7
N168 Lateral canthal advancement - Bilateral - two surgeons, major portion 627.05
N169 Lateral canthal advancement - Bilateral - two surgeons, lesser portion 470.35
N174 Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) - includesremoval of existing shunt 597.7
N183 Nerve graft - minor (sensory/cutaneous nerve) 480.5
N200 Decompressive craniectomy (frontal, subtemporal) 753.45
N201 Repair of skull defect - Rib graft cranioplasty (defect less than 7.5 cm) 873
N202 Repair of skull defect - Replacement of bone flap 551.8
N203 Repair of skull defect - Skull tumour, excision 416.5
N206 Craniosynostosis, linear craniectomy - one suture 439.4
N207 Craniosynostosis, linear craniectomy - multiple sutures 574.85
N208 Craniotomy - for craniofacial repair 936.6
N211 Craniotomy - plus removal of orbital tumour 1139.05
N212 Craniotomy - plus orbital decompression (roof of orbit with or without lateral wall) 1066.45
N213 Craniotomy - for decompression of optic nerve(s) 1139.05
N218 Cerebral vascular malformation - Extracranialintracranial microvascular anastomosis superficial temporal artery 1391.45
N223 Vertebral endarterectomy 814.85
N230 CSF shunting procedures - all types 1048.05
N245 Revision of CSF shunt - operative - all types 597.7
N246 Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) - Removal of shunt any type 295.5
N249 Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) - Third ventriculostomy 1106.05
N258 Percutaneous coagulation or glyceral injection of gasserian (trigeminal) ganglion or root - unilateral 515.1
N259 V - Decompression or rhizotomy (partial or complete) trigeminal nerve 685.25
N265 VII - Differential section facial nerve for hemi-facial spasm (extracranial approach) 355.3
N266 Anastomosis hypoglossal or accessory to facial nerve 742.45
N267 Occipital and/or suboccipital craniectomy for compression, decompression or section of cranial nerves 1306.65
N269 XI - Division of nerves to sternomastoid in neck 298.1
N282 Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - Brachial plexus (excluding thoracic outlet syndrome or cervical rib) 1020.1
N283 Decompression, exploration for thoracic outlet syndrome including excision of cervical and/or first rib and to include scalenotomy 396.85
N286 Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - Tumour or neuroma major nerve 324.25
N287 Nerve suture - major (mixed sensory and motor nerve, or pure motor nerve) 510.05
N288 Nerve graft - major (mixed sensory and motor nerve, or pure motor nerve) 946.2
N289 Nerve suture - minor (sensory/cutaneous nerve) 255.05
N290 Decompression median nerve at wrist (carpal tunnel syndrome) 159.9
N295 Excision of Morton's or subcutaneous neuroma, glomus or small cutaneous nerve tumour 112.15
Z801 Revision of CSF shunt - non-operative 52.55
Z802 Ventricular puncture through previous burr hole or fontanelle or puncture and/or aspiration of cisterna 83.3
Z803 Subdural tap(s) - unilateral 54.15
Z807 Removal of Selverstone clamp 271.95
Z808 Progressive carotid occlusion by Selverstone clamp 324.25
Z809 Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) - Insertion of CSF reservoir (Ommaya) including burr holes 437.5
Z811 Intravenous drug test for pain 55.2
Z812 Ventriculoscopy - Subsequent revisions or replacements within 30 days - Each 285.15
Z813 Burr hole - plus needling of brain for biopsy 572.1
Z815 Temporal artery - biopsy, ligation or cryosurgery 204
Z816 Implantation of electrode for peripheral nerve stimulation 245.85
Z818 Burr hole - subsequent aspiration through existing burr hole within 30 days 219.7
Z820 Ventriculoscopy - Insertion of intracranial catheter or transducer for purposes of monitoring 375.35
Z821 Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) - Injection of diagnostic or therapeutic agent into shunt apparatus 54.15
Z823 Functional stereotaxy - Implantation or revision of stimulation pack or leads (peripheral nerve, brain) 412.45
Z824 Functional stereotaxy - Removal of chronic surface or depth electrodes 271.95
Z825 Ventriculoscopy - to include burr hole 745.9
Z826 Inferior dental neurectomy 187.7
Z827 Infraorbital or supraorbital neurectomy 161.65

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.

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