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		$1,900.30
	E902 lesion greater than 2 cm diameter add			$463.30
	E903 team fee for acoustic neuroma, same approach add			$627.05
N103	Craniotomy plus excision Astrocytoma, oligodendroglioma, glioblastoma or metastatic tumour supratentorial	15		$1,719.95
N104	Craniotomy plus removal supratentorial	15		$1,254.70
N105	Intracranial aneurysm repair Craniotomy approaches Carotid circulation pervessel	20		$2,527.25
	E898 lesion greater than 2.5 cm add			$289.50
	E908 removal of intracerebral and/or subdural haematoma in conjunction with a ruptured intracranial aneurysm or arteriovenous malformation add			$310.40
	E979 clinoidal drilling for complex aneurysms add			$404.65
N106	Cerebral vascular malformation Craniotomy supratentorial	20		$2,046.35
	E895 of cerebral arteriovenous malformation greater than 4 cm add			$381.30
	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		$1,486.25
N108	Carotidcavernous fistula Obliteration of intracranial dural arteriovenous fistula (including carotid cavernous fistula) to include craniotomy and combined cervical and intracranial procedure	15		$1,254.25
N109	Burr hole Hemispherectomy	15		$1,916.10
N110	Burr hole Lobectomy and/or excision of cortical scar for epilepsy	15		$2,228.10
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		$1,916.75
	E886 extended endonasal endoscopic approach add			$816.10
	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			$765.10
	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			$267.40
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N112	Surgeon not rendering resection of lesion(s) Endonasal endoscopic or microscopic approach for surgical access to sella turcica	0		$1,387.35
	E886 extended endonasal endoscopic approach add			$816.10
	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		$1,039.65
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		$1,777.45
	E886 extended endonasal endoscopic approach add			$816.10
	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			$765.10
	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			$267.40
N115	Burr hole aspiration	7		$590.50
N116	Nonpituitary 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		$2,288.55
	E886 extended endonasal endoscopic approach add			$816.10
	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			$765.10
	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			$267.40
N117	Craniotomy	15		$1,444.95
N118	Carotidcavernous fistula Endovascular approach to include balloon catheter or embolization techniques for dural arteriovenous fistula including carotid cavernous fistula	15		$971.20
N119	Functional stereotaxy Intracranial implantation of chronic surface electrodes	11		$1,209.10
N120	Craniotomy plus removal Burr hole plus drainage	15		$491.60
N121	Cerebral vascular malformation Extracranialintracranial 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		$1,745.80
N122	Intracranial aneurysm repair Endovascular approaches Carotid circulation per vessel	20		$2,183.15
	E894 aneurysm greater than 2.5 cm add			$234.15
N123	Burr hole Stereotaxis intracranial (to include ventriculography)	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		$2,081.15
N125	Intracranial aneurysm repair Endovascular approaches Vertebrobasilar circulation, including aneurysm of vein of Galen	20		$2,183.15
	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		$1,471.95
N127	Burr hole Reopening of craniotomy for postoperative haematoma or for removal of bone flap	11		$529.30
N128	Burr hole Repair of encephalocoele	15		$943.30
N129	Burr hole Posterior fossa decompression for Arnold Chiari malformation	15		$1,310.80
	E901 with operating microscope add			$239.35
N130	Burr hole Craniotomy plus midline commissurotomy	15		$1,035.25
N139	Reduction of skull fracture simple, depressed	7		$647.65
N140	Reduction of skull fracture compound	11		$913.00
	E912 with repair of dural laceration add			$238.00
N143	Extracerebral haematoma and/or hygroma Drainage by burr hole(s) unilateral	7		$660.80
N144	Extracerebral haematoma and/or hygroma Drainage and/or removal by craniotomy	11		$1,019.40
N148	Removal of intracerebral haematoma and/or debridement of traumatized brain (includes management of any skull fracture)	15		$1,228.85
N149	Removal of foreign body from brain	15		$987.95
N150	C.S.F. leak intracranial repair (to include transsphenoidal approach)	15		$1,086.85
N151	Craniotomy plus excision Astrocytoma, oligodendroglioma, glioblastoma or metastatic tumour infratentorial	15		$1,900.30
N152	Craniotomy plus excision Astrocytoma, oligodendroglioma, glioblastoma or metastatic tumour Craniotomy plus lobectomy	15		$1,607.45
	E901 with operating microscope add			$239.35
N153	Craniotomy plus excision Meningioma and other tumourous lesions, including pituitary tumours infratentorial or basal	15		$2,580.65
	E901 with operating microscope add			$239.35
	E902 lesion greater than 2 cm diameter add			$463.30
	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		$2,527.25
	E898 lesion greater than 2.5 cm add			$289.50
	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			$310.40
	E979 clinoidal drilling for complex aneurysms add			$404.65
N155	Cerebral vascular malformation Craniotomy infratentorial	20		$2,055.50
	E895 of cerebral arteriovenous malformation greater than 4 cm add			$381.30
	E901 with operating microscope add			$239.35
N156	Cerebral vascular malformation Occipital artery	15		$1,254.25
	E904 posterior fossa add			$245.85
N157	Craniotomy plus removal infratentorial	15		$1,416.30
N158	Craniotomy plus evacuation supratentorial	15		$987.95
N159	Craniotomy plus evacuation infratentorial	15		$1,086.45
N160	Craniotomy plus evacuation Burr hole plus aspiration	15		$435.55
N161	Repair of skull defect Acrylic or metal cranioplasty	11		$612.95
N162	Morcellation procedure one suture	11		$439.40
N163	Morcellation procedure multiple sutures	15		$627.05
N164	Lateral canthal advancement Unilateral one surgeon	15		$710.35
N165	Lateral canthal advancement Unilateral two surgeons, major portion	15		$439.40
N166	Lateral canthal advancement Unilateral two surgeons, lesser portion	0		$352.30
N167	Lateral canthal advancement Bilateral one surgeon	15		$971.70
N168	Lateral canthal advancement Bilateral two surgeons, major portion	15		$627.05
N174	Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) includesremoval of existing shunt	7		$597.70
N177	Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition Sciatic nerve in buttock	7		$439.40
	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%
N183	Nerve graft minor (sensory/cutaneous nerve)	6		$480.50
	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%
N188	Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition minor nerve including digital, cutaneous or lateral femoral cutaneous nerve	7		$156.80
	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%
N189	Ulnar nerve transposition at elbow may include exploration, decompression and/or neurolysis	7		$284.85
	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%
N190	Exploration and/or decompression and/or neurolysis of ulnar nerve (elbow)	7		$219.70
	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		$753.45
N201	Repair of skull defect Rib graft cranioplasty (defect less than 7.5 cm)	15		$873.00
N202	Repair of skull defect Replacement of bone flap	11		$551.80
N203	Repair of skull defect Skull tumour, excision	11		$416.50
N206	Craniosynostosis, linear craniectomy one suture	11		$439.40
N207	Craniosynostosis, linear craniectomy multiple sutures	15		$574.85
N208	Craniotomy for craniofacial repair	15		$936.60
	E922 with repair of frontonasal encephalocele add			$219.70
N211	Craniotomy plus removal of orbital tumour	15		$1,139.05
N212	Craniotomy plus orbital decompression (roof of orbit with or without lateral wall)	15		$1,066.45
N213	Craniotomy for decompression of optic nerve(s)	15		$1,139.05
	E901 with operating microscope add			$239.35
N218	Cerebral vascular malformation Extracranialintracranial microvascular anastomosis superficial temporal artery	15		$1,391.45
N223	Vertebral endarterectomy	10		$814.85
N230	CSF shunting procedures all types	11		$1,048.05
N245	Revision of CSF shunt operative all types	7		$597.70
N246	Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) Removal of shunt any type	7		$295.50
N249	Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) Third ventriculostomy	11		$1,106.05
N258	Percutaneous coagulation or glyceral injection of gasserian (trigeminal) ganglion or root unilateral	11		$515.10
N259	V Decompression or rhizotomy (partial or complete) trigeminal nerve	11		$685.25
N265	VII Differential section facial nerve for hemifacial spasm (extracranial approach)	6		$355.30
N266	Anastomosis hypoglossal or accessory to facial nerve	6		$742.45
N267	Occipital and/or suboccipital craniectomy for compression, decompression or section of cranial nerves	11		$1,306.65
	E901 with operating microscope add			$239.35
N269	XI Division of nerves to sternomastoid in neck	7		$298.10
N282	Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition Brachial plexus (excluding thoracic outlet syndrome or cervical rib)	6		$1,020.10
N283	Decompression, exploration for thoracic outlet syndrome including excision of cervical and/or first rib and to include scalenotomy	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%
N285	Exploration and/or decompression and/or transposition and/or neurolysis of major nerve (excluding carpal tunnel nerve)	7		$261.30
	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		$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		$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		$946.20
	E899 for each additional cable add			$104.50
	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		$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		$159.90
	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		$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 nonoperative	0		$52.55
Z802	Ventricular puncture through previous burr hole or fontanelle or puncture and/or aspiration of cisterna	7		$83.30
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	$437.50
Z811	Intravenous drug test for pain	6		$55.20
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	$572.10
Z815	Temporal artery biopsy, ligation or cryosurgery	6		$204.00
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		$219.70
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%
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		$745.90
	E916 with biopsy add			$238.00
	E917 with interventriculostomy add			$307.75
	E918 with removal of foreign body add			$135.45
Z826	Inferior dental neurectomy	6	6	$187.70
Z827	Infraorbital or supraorbital neurectomy	7	6	$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.