E382

PDF page 787 / Z3

SPINAL SURGICAL PROCEDURES
 ANTERIOR SPINAL DECOMPRESSION
                                                                                                      Asst    Surg     Anae
    All levels
# E383     - acute spinal cord injury premium ............................... add                             255.00
# E382     - spinal duroplasty using autologous/allogenic/synthetic
             tissue.......................................................................... add             244.80
    Cervical
# N500 Disc excision (one level) .........................................................            10     1097.90    10
# N501 Vertebrectomy (removal of vertebral body and excision of
          adjacent discs) ...................................................................          11    1267.15    11
# E360    - each additional level decompression, to N500 or N501
            ................................................................................... add           306.00
# N569 Anterior cervical decompression by intra-oral approach......... 15      1442.95       15
     Note:
     No other anterior cervical decompression codes (i.e. N500, N501, E360) are eligible for
     payment when rendered with anterior cervical decompression by intra-oral approach (N569).

PDF page 790 / Z6

All levels
# E383     - acute spinal cord injury premium ............................... add                                         255.00
# E382     - spinal duroplasty using autologous/allogenic/synthetic
             tissue.......................................................................... add                         244.80
# N521 Re-opening of laminectomy for post-op haematoma/infection         7     357.00       8
# N522 Re-opening of laminectomy for repair of CSF leak................. 7     535.50       8
     Note:
     1.N521 and N522 are not eligible for payment when rendered with any service in the Spinal
       Surgical Procedures section except duroplasty (E382) if required.
     2.N521 is not eligible for payment if rendered with N522.
    Cervical / Thoracic
# N509 One level - unilateral...............................................................                    9        1004.70          12
# N510 One level - bilateral.................................................................                   9        1346.05          17
# E374    - foramen magnum decompression < 3cm as part of
            cervical decompression, to N510............................... add                                            357.00
# E361    - each additional level decompressed including disc
            excision - unilateral or bilateral, to N509 or N510 ...... add                                                260.80
# N520 One level - laminoplasty (includes fixation of lamina) ............                                      9        1514.70          14
# E380   - each additional level - laminoplasty (includes fixation of
           lamina), to N520......................................................... add                                  357.00
# E368          - first disc excision, to N509, N510 or N520................. add                                         306.00
    Lumbar
# N511 One level - unilateral...............................................................                    8         800.70          15
# N512 One level - bilateral.................................................................                   8        1118.90          15
# E368   - first disc excision, to N511 or N512............................ add                                           306.00
# N524 One level - bilateral canal enlargement - unilateral approach                                            9        1300.25          15
# E361          - each additional level decompressed including disc
                  excision - unilateral or bilateral, to N511, N512 or N524
                  ................................................................................... add                 260.80
# N571 Percutaneous discotomy ........................................................                          6         255.00          8
# E385   - each additional level of percutaneous discotomy, to N571
           ................................................................................... add                          71.40
    Removal of Vertebral Body including Pedicles for Osteotomy
# N574 Above cord and conus (includes partial rib resection) - each
         level ....................................................................................             9        1020.00          13
# N575 Below conus - each level ........................................................                        9         765.00           9
# N576 Smith Peterson Osteotomy - each level .................................                                  9         255.00           9

PDF page 795 / Z11

SPINAL SURGICAL PROCEDURES
 TUMOURS/INFECTIONS OF THE SPINE
                                                                                       Asst   Surg     Anae
# E386   - extradural decompression - spinal cord or cauda equina -
           tumour or infection ............................................. add 42%
     Note:
     E386 only applies to the major decompressive procedure.
# N553 Simple soft tissue tumour excision under 5cm .......................             6     204.00    8
# N554 Radical soft tissue tumour excision 5cm and greater .............                9     484.50    13
    Spinal osteomyelitis
# N549 - incision and drainage including sequestrectomy, anterior
          approach ............................................................................ 7 632.40 10
# N548 - incision and drainage only, posterior approach ..................                      6 102.00  7
# N550 - sequestrectomy, posterior approach ..................................                  6 357.00 6
     Note:
     N548 is not eligible for payment when rendered with N550 as it is included in the N550 service.
# N560 Intradural extramedullary spinal tumour(s) - partial or total
          removal............................................................................... 8 2536.80 10
# N561 Intradural intramedullary spinal tumour(s) - partial or total
          removal............................................................................... 9 2927.70 12
# E382    - spinal duroplasty using autologous/allogenic/synthetic
            tissue, to N560 or N561 ............................................. add               244.80
# E383    - acute spinal cord injury premium, to N560 or N561... add                                255.00
      Note:
      1.No other decompressive codes are eligible for payment when rendered with N560 or N561.
      2.N560 is not eligible for payment when rendered with N561.

PDF page 800 / Z16

SPINAL SURGICAL PROCEDURES
PROCEDURES INVOLVING NEURAL ELEMENTS
                                                                                                           Asst         Surg          Anae
    Sympathectomy - unilateral
# N542 - cervical ...............................................................................            6          357.00           6
# N543 - cervico-dorsal .....................................................................                10         586.50          10
# N544        - thoracic approach...............................................................              9         433.50          13
# N545        - lumbar ................................................................................       6         295.80           6
# N557 Syringo-subarachnoid shunt................................................... 8 1224.00 12
# N558 Syringopleural/syringoperitoneal shunt...................................     9 1428.00 13
# E383    - acute spinal cord injury premium, to N557 or N558... add                    255.00
      Note:
      N557, N558 are not eligible for payment when rendered with any decompressive service.
# N562 Intradural neurolysis of unusual lesions e.g. diastematomyelia,
          tethered conus, intramedullary haematoma, etc. including
          laminectomy .......................................................................                 8        1224.00          12
# E361    - each additional level decompressed including disc
            excision - unilateral or bilateral, to N562.................... add                                         260.80
# E383    - acute spinal cord injury premium, to N562................ add                                               255.00
# E382    - spinal duroplasty using autologous/allogenic/synthetic
            tissue, to N562 ........................................................... add                             244.80
         Note:
         N562 is not eligible for payment when rendered with any other decompressive codes except
         additional levels (E361).
# N577 Intradural rhizotomy anterior/posterior (uni/bilateral) - any
          number of roots ..................................................................                  8        1276.65          10
# N578 Dorsal root entry zone lesions for pain relief – any number of
          levels ..................................................................................           8        1020.00          10
         Note:
         N577, N578 are not eligible for payment when rendered with any service in the Spinal Surgical
         Procedures section.

PDF page 801 / Z17

SPINAL SURGICAL PROCEDURES
 MENINGOCOELE AND MYELOMENINGOCOELE
                                                                                                        Asst    Surg     Anae
# E382         - spinal duroplasty using autologous/allogenic/synthetic
                 tissue.......................................................................... add           244.80
# N535 Repair of meningocoele..........................................................                  7      510.00    9
# N536 Repair of myelomeningocoele (one surgeon).........................                                7     1217.10    9
    Repair of myelomeningocoele (two surgeons)
# N537 - neurosurgeon .....................................................................                     510.00    9
# N538 - reconstructive surgeon .......................................................                         881.55
# N565 Repair of lipomeningocoele including release of tethered cord                                     8     1622.80    10
# N566 Repair of anterior sacral meningocoele including release of
         tethered cord ......................................................................            8     1020.00    10
# N567 Repair of intraspinal meningocoele ........................................                       8     1020.00    10
         Note:
         No decompressive codes are eligible for payment rendered with N535, N536, N537, N538,
         N565, N566 or N567.
         [Commentary:
         Fusion procedures are eligible for payment with these procedures when performed.]

Master, record 1124. Record Layout PDF, page 1.

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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.