E377

PDF page 791 / Z7

SPINAL SURGICAL PROCEDURES
 POSTERIOR SPINAL ARTHRODESIS FOLLOWING DECOMPRESSION OR OSTEOTOMY
                                                    Asst    Surg  Anae
    All levels
# E378     - 3D stereotactic spinal procedure ............................... add             510.00
# E379     - 2D stereotactic spinal procedure ............................... add             510.00
    Cervical, Thoracic & Lumbar … without instrumentation
# E369    - one disc level, to N509, N510, N520, N511 or N512 . add                           255.00
# E364    - each additional disc level fused, to E369................... add                  102.00
    Cervical … with instrumentation - by same surgeon
# E384    - C1/C2 screw fixation (transarticular, pedicle, lateral mass),
            to N509, N510, N560, N561or N572 ......................... add                   1020.00
# E370    - one disc level - below C2, to N509, N510, N572, N574,
            N575, N576, N560 or N561 ....................................... add              880.15
# E371    - fusion to occiput, to E384........................................... add         816.00
# E366         - each additional disc level fused except fusion to occiput or
                 fusion of cervico-thoracic junction, to E384 or E370.. add                   153.00
# E377         - cervico-thoracic junction, to N509, N510, E370, N572,
                 N574, N560 or N561 .................................................. add    255.00
         Note:
         Submit claims for levels fused in addition to E384 or E370 using one of E366, E371 or E377 as
         appropriate.
         [Commentary:
         E370 will be reduced to E366 if claimed with E384.]

PDF page 791 / Z7

Cervical … with instrumentation - by separate surgeon
# N528 C1/C2 screw fixation (transarticular, pedicle, lateral mass) ....                     1020.00
# E371 fusion to occiput, to N528 ................................................. add       816.00
# N513 One disc level - below C2 .......................................................        867.00
# E366    - each additional disc level fused except fusion to occiput or
            fusion of cervico-thoracic junction, to N528 or N513 . add                          153.00
# E377    - cervico-thoracic junction, to N513, N572, N574, N560 or
            N561 .......................................................................... add 255.00
      Note:
      Submit claims for levels fused in addition to N528 or N513 using one of E366, E371, or E377
      as appropriate.
         [Commentary:
         N513 will be reduced to E366 if claimed with N528.]

PDF page 793 / Z9

Cervical & Thoracic … without instrumentation
# N519 C1/C2 fusion using graft/posterior wires.................................         8 612.00 10
# N514 One disc level - below C2 ....................................................... 7 408.00 10
# E364     - each additional disc level fused, to N514 or N519..... add                    102.00
      Note:
      1.N519 is not eligible for payment when rendered with any other fusion procedure at the same
        level.
         2.Submit claims for levels fused in addition to N519 using E364.
         [Commentary:
         N514 will be reduced to E364 if claimed with N519.]
    Lumbar … without instrumentation
# N581 One disc level ......................................................................... 7  408.00 10
# E364    - each additional disc level fused, to N581................... add                       102.00
    Cervical & Thoracic … with instrumentation
# N532 C1/C2 screw fixation (transarticular, pedicle, lateral mass) ....                        9 1224.00 11
# N515 One disc level - below C2 .......................................................        9 1020.00 11
# E366    - each additional level fused except fusion to occiput or
            fusion of cervico-thoracic junction, to N532 or N515 . add                             153.00
# E371    - fusion to occiput, to N532 .......................................... add              816.00
# E377    - cervico-thoracic junction, to N515 or N572 ................ add                        255.00
      Note:
      Submit claims for levels fused in addition to N532 or N515 using one of E366, E371, or E377
      as appropriate.
         [Commentary:
         N515 will be reduced to E366 if claimed with N532.]
    Lumbar … with instrumentation
# N582 One disc level .........................................................................    9     1020.00    15
# E366   - each additional disc level fused, to N582................... add                               153.00
# E387   - spinopelvic fixation with iliac or S2 alar-iliac screws, to
           N582 .......................................................................... add            300.00
# N533 Pars reconstruction for spondylolysis .....................................                 9     1020.00    11

Master, record 1119. Record Layout PDF, page 1.

E37720250401999999990000255000000000000000000000000000000000000000000000000

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.