N291

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NEUROLOGICAL SURGICAL PROCEDURES
PERIPHERAL NERVES
                                                                                                         Asst         Surg          Anae
# E906          - to basic fee for neurolysis, nerve tumour excision, nerve
                  suture, nerve transfer, or nerve graft when using operating
                  microscope......................................................... add 40%
# E925          - to basic fee for a repeat peripheral nerve procedure, (i.e.,
                  any N-prefix surgical fee code in the Peripheral Nerves
                  section), or when acute nerve injury repair by suture,
                  transfer or graft is delayed for more than 4 weeks...........
                  ........................................................................... add 30%
    Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition
    by open surgical exposure
# N188 - minor nerve - including digital, cutaneous or lateral femoral
         cutaneous nerve.................................................................         6 153.70 7
# N285 - major nerve - excluding carpal tunnel or ulnar nerve at
         elbow .................................................................................. 7 283.50 7
# N283 Decompression, for thoracic outlet syndrome including
         excision of cervical and/or first rib and scalenotomy ..........                         7 389.05 7
# N282 Brachial plexus (excluding excision of cervical and/or first rib
         and scalenotomy) ...............................................................                   6        1466.25          6
         Payment rules:
         1.N282 is eligible for payment with N283 when a complete brachial plexus neurolysis is
           performed in addition to excision of cervical and/or first rib, and scalenectomy.
# N290 Carpal tunnel release..............................................................                  6         197.15          6
# N190 Exploration and/or decompression and/or neurolysis of ulnar
         nerve (elbow)......................................................................                7         286.20          7
# N189 Ulnar nerve transposition at elbow - may include exploration,
         decompression and/or neurolysis.......................................                             7         368.55          7
# N177 Sciatic nerve in buttock...........................................................                  7         430.75          7
# N184 Decompression of posterior tibial or common peroneal nerve                                           6         165.20          7
# N286 Tumour or neuroma - major nerve ..........................................                           7         317.85          7
# N295 Excision of Morton’s or subcutaneous neuroma, glomus or
         small cutaneous nerve tumour ...........................................                           6         109.95          6
# E911   - implantation of neuroma into bone or muscle, to N286 or
           N295 .................................................................. add 40%
    Nerve suture
# N289 - minor - (sensory/cutaneous nerve).....................................                             7         296.65          7
# N287 - major - (mixed sensory and motor nerve, or pure motor
         nerve) .................................................................................           7         593.25          7
    Nerve transfer
# N293 - minor – (sensory/cutaneous nerve)....................................                    6 363.90 6
# N291 - major – (mixed sensory and motor nerve, or pure motor
         nerve) ................................................................................. 6 841.75 6
     [Commentary:
     See Ocular and Aural Surgical Procedures for Facial nerve decompression, grafting fee codes
     and Neurological Surgical Procedures – Cranial for Facial nerve transfer fee codes]

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Nerve graft
# N183 - minor - (sensory/cutaneous nerve).....................................                    6 471.05 6
# N288 - major - (mixed sensory and motor nerve, or pure motor
          nerve) ................................................................................. 6 927.55 6
# E899    - for each additional cable, to N288 ............................. add                     102.45
      Payment rules:
      1.N188 or N285 when performed through the same incision as flexor tendon repairs R585 or
        E581 is an insured service payable at nil.
         2.N289, N287, N293, N291, N183 and/or N288 include exploration, decompression, division,
           excision, and/or neurolysis of the nerve(s) involved, if performed.
         3.N293 or N291 are only eligible for payment for coaptation of one or more donor nerve
           fascicles to a recipient nerve.
         4.Nerve graft fees include harvesting of the nerve(s) required for grafting.
         5.Peripheral nerve fees codes include any guidance, nerve stimulation, or nerve mapping if
           performed.

Master, record 3820. Record Layout PDF, page 1.

N29120260401999999990000841750000000774600000000000000000095760000000957600

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.