E387

PDF page 792 / Z8

SPINAL SURGICAL PROCEDURES
POSTERIOR SPINAL ARTHRODESIS FOLLOWING DECOMPRESSION OR OSTEOTOMY
                                                   Asst    Surg  Anae
    Thoracic & Lumbar … with instrumentation - by separate surgeon
# N513 One disc level .........................................................................          867.00
# E366   - each additional disc level fused, to N513................... add                              153.00
# E387   - spinopelvic fixation with iliac or S2 alar-iliac screws, to
           N513 .......................................................................... add           300.00
    Posterior Interbody Arthrodesis or Nuclear Replacement
# E372    - one disc level, to N509, N510, N511, N512 or N513 . add                                      510.00
# E376    - each additional disc level stabilized, to E372............. add                              255.00
      Payment rules:
      1.E372 includes discectomy.
        2.Posterior interbody arthrodesis includes insertion of cage or structural bone graft.
        3.Insertion of morselized bone graft alone following discectomy is not eligible for payment as
          E372 or E376.
        4.E372 and E376 are not eligible for payment with N540 or E389 at the same spinal level.
        [Commentary:
        L5-S1 fusion does not constitute spinopelvic fixation.]

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 1129. Record Layout PDF, page 1.

E38720260401999999990000300000000000000000000000000000000000000000000000000

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.