OHIP Billing Codes

Specialty: Cranial

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Code Description Fee

Brain

N152 Craniotomy plus excision - Astrocytoma, oligodendroglioma, glioblastoma or metastatic tumour - Craniotomy plus lobectomy $1,575.80
N151 Craniotomy plus excision - Astrocytoma, oligodendroglioma, glioblastoma or metastatic tumour - infratentorial $1,862.85
N103 Craniotomy plus excision - Astrocytoma, oligodendroglioma, glioblastoma or metastatic tumour - supratentorial $1,686.05
N153 Craniotomy plus excision - Meningioma and other tumourous lesions, including pituitary tumours - infratentorial or basal $2,529.80
N102 Craniotomy plus excision - Meningioma and other tumourous lesions, including pituitary tumours - supratentorial $1,862.85

Carotid and Vertebral Arteries

Z808 Progressive carotid occlusion by Selverstone clamp $317.85
Z807 Removal of Selverstone clamp $266.60
Z815 Temporal artery - biopsy, ligation or cryosurgery $200.00
N223 Vertebral endarterectomy $798.80

Cerebral Injury

N150 C.S.F. leak - intracranial repair (to include trans-sphenoidal approach) $1,065.45

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N200 Decompressive craniectomy (frontal, subtemporal) $738.60
N149 Removal of foreign body from brain $968.50
N148 Removal of intracerebral haematoma and/or debridement of traumatized brain (includes management of any skull fracture) $1,204.65
Z803 Subdural tap(s) - unilateral $53.10

Complete Study - 1 and 2 dimensions

G571 Professional component $96.20
G570 Technical component $118.95

COVID-19 Immunization

G593 COVID-19 vaccine $13.00

Cranial Nerves

N266 Anastomosis hypoglossal or accessory to facial nerve $727.80
Z826 Inferior dental neurectomy $184.00
Z827 Infraorbital or supraorbital neurectomy $158.45
N267 Occipital and/or suboccipital craniectomy for compression, decompression or section of cranial nerves $1,280.90
N258 Percutaneous coagulation or glyceral injection of gasserian (trigeminal) ganglion or root - unilateral $504.95
N259 V - Decompression or rhizotomy (partial or complete) trigeminal nerve $671.75
N265 VII - Differential section facial nerve for hemi-facial spasm (extracranial approach) $348.30
N269 XI - Division of nerves to sternomastoid in neck $292.25

Cranio-Cerebral Injuries

N144 Extracerebral haematoma and/or hygroma - Drainage and/or removal by craniotomy $999.30
N143 Extracerebral haematoma and/or hygroma - Drainage by burr hole(s) unilateral $647.80
N140 Reduction of skull fracture - compound $895.00
N139 Reduction of skull fracture - simple, depressed $634.90

CSF Shunting Procedures

N174 Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) - includesremoval of existing shunt $585.90
Z821 Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) - Injection of diagnostic or therapeutic agent into shunt apparatus $53.10
Z809 Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) - Insertion of CSF reservoir (Ommaya) including burr holes $428.90
N246 Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) - Removal of shunt any type $289.70
N249 Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) - Third ventriculostomy $1,084.25
N230 CSF shunting procedures - all types $1,027.40
Z801 Revision of CSF shunt - non-operative $51.50
N245 Revision of CSF shunt - operative - all types $585.90

Intracranial Abscess

N115 Burr hole - aspiration $578.85
N113 Burr hole - Craniotomy for brain biopsy (other than for tumour) $1,019.15
N130 Burr hole - Craniotomy plus midline commissurotomy $1,014.85
N109 Burr hole - Hemispherectomy $1,878.35
N126 Burr hole - Intraoral approach to lesions of the skull base and upper cervical spine $1,442.95
N110 Burr hole - Lobectomy and/or excision of cortical scar for epilepsy $2,184.20
Z813 Burr hole - plus needling of brain for biopsy $560.85
N129 Burr hole - Posterior fossa decompression for Arnold Chiari malformation $1,284.95
N127 Burr hole - Re-opening of craniotomy for postoperative haematoma or for removal of bone flap $518.85
N128 Burr hole - Repair of encephalocoele $924.70
N123 Burr hole - Stereotaxis intracranial (to include ventriculography) $559.60
Z818 Burr hole - subsequent aspiration through existing burr hole within 30 days $215.35
N117 Craniotomy $1,416.50
N124 Functional stereotaxy $2,040.15
Z823 Functional stereotaxy - Implantation or revision of stimulation pack or leads (peripheral nerve, brain) $404.30
N119 Functional stereotaxy - Intracranial implantation of chronic surface electrodes $1,185.30
Z824 Functional stereotaxy - Removal of chronic surface or depth electrodes $266.60
Z802 Ventricular puncture through previous burr hole or fontanelle or puncture and/or aspiration of cisterna $81.65
Z820 Ventriculoscopy - Insertion of intracranial catheter or transducer for purposes of monitoring $367.95
Z812 Ventriculoscopy - Subsequent revisions or replacements within 30 days - Each $279.55
Z825 Ventriculoscopy - to include burr hole $731.20

Intracranial Cyst

N160 Craniotomy plus evacuation - Burr hole plus aspiration $426.95
N159 Craniotomy plus evacuation - infratentorial $1,065.05
N158 Craniotomy plus evacuation - supratentorial $968.50

Intracranial Endovascular Surgery

N118 Carotid-cavernous fistula - Endovascular approach to include balloon catheter or embolization techniques for dural arteriovenous fistula including carotid cavernous fistula $952.05
N107 Cerebral arteriovenous malformation - Endovascular approach for obliteration - Endovascular approach to include balloon catheter or embolization techniques for arteriovenous malformation $1,456.95
N122 Intracranial aneurysm repair - Endovascular approaches - Carotid circulation per vessel $2,140.15
N125 Intracranial aneurysm repair - Endovascular approaches - Vertebrobasilar circulation, including aneurysm of vein of Galen $2,140.15

Neurosurgery - Open Surgical Approach

N108 Carotid-cavernous fistula - Obliteration of intracranial dural arteriovenous fistula (including carotid cavernous fistula) to include craniotomy and combined cervical and intracranial procedure $1,229.55
N155 Cerebral vascular malformation - Craniotomy - infratentorial $2,015.00
N106 Cerebral vascular malformation - Craniotomy - supratentorial $2,006.05
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) $1,711.40
N218 Cerebral vascular malformation - Extracranialintracranial microvascular anastomosis superficial temporal artery $1,364.05
N156 Cerebral vascular malformation - Occipital artery $1,229.55
N105 Intracranial aneurysm repair - Craniotomy approaches - Carotid circulation pervessel $2,477.45
N154 Intracranial aneurysm repair - Craniotomy approaches - Vertebrobasilar circulation, including aneurysm of vein of Galen $2,477.45

Orbit

N213 Craniotomy - for decompression of optic nerve(s) $1,116.60
N212 Craniotomy - plus orbital decompression (roof of orbit with or without lateral wall) $1,045.45
N211 Craniotomy - plus removal of orbital tumour $1,116.60

Other

Z811 Intravenous drug test for pain $54.10

Skull

N207 Craniosynostosis, linear craniectomy - multiple sutures $563.50
N206 Craniosynostosis, linear craniectomy - one suture $430.75
N208 Craniotomy - for craniofacial repair $918.15
N167 Lateral canthal advancement - Bilateral - one surgeon $952.55
N169 Lateral canthal advancement - Bilateral - two surgeons, lesser portion $461.10
N168 Lateral canthal advancement - Bilateral - two surgeons, major portion $614.70
N164 Lateral canthal advancement - Unilateral - one surgeon $696.35
N166 Lateral canthal advancement - Unilateral - two surgeons, lesser portion $345.35
N165 Lateral canthal advancement - Unilateral - two surgeons, major portion $430.75
N163 Morcellation procedure - multiple sutures $614.70
N162 Morcellation procedure - one suture $430.75
N161 Repair of skull defect - Acrylic or metal cranioplasty $600.85
N202 Repair of skull defect - Replacement of bone flap $540.95
N201 Repair of skull defect - Rib graft cranioplasty (defect less than 7.5 cm) $855.80
N203 Repair of skull defect - Skull tumour, excision $408.30

Skull Base Surgery Complex Closure, Repair and / or Reconstruction of Defect(s)

N290 Decompression median nerve at wrist (carpal tunnel syndrome) $156.75
N283 Decompression, exploration for thoracic outlet syndrome including excision of cervical and/or first rib and to include scalenotomy $389.05
N295 Excision of Morton's or subcutaneous neuroma, glomus or small cutaneous nerve tumour $109.95
N282 Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - Brachial plexus (excluding thoracic outlet syndrome or cervical rib) $1,000.00
N286 Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - Tumour or neuroma major nerve $317.85
Z816 Implantation of electrode for peripheral nerve stimulation $241.00
N288 Nerve graft - major (mixed sensory and motor nerve, or pure motor nerve) $927.55
N183 Nerve graft - minor (sensory/cutaneous nerve) $471.05
N287 Nerve suture - major (mixed sensory and motor nerve, or pure motor nerve) $500.00
N289 Nerve suture - minor (sensory/cutaneous nerve) $250.00

Skull Base Surgery Resection of Lesion(s) - Endonasal Approach

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) $2,243.45
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) $1,742.45
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) $1,879.00

Skull Base Surgery Surgical Access - Endonasal Approach

N112 Surgeon not rendering resection of lesion(s) - Endonasal endoscopic or microscopic approach for surgical access to sella turcica $1,360.00

Spontaneous Intracerebral Haemorrhage

N120 Craniotomy plus removal - Burr hole plus drainage $481.90
N157 Craniotomy plus removal - infratentorial $1,388.40
N104 Craniotomy plus removal - supratentorial $1,230.00

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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