E395

PDF page 794 / Z10

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                                    SPINAL SURGICAL PROCEDURES
    FRACTURES OF THE SPINE
                                                                                                            Asst         Surg         Anae
    # F200 No reduction, brace (includes Halo orthosis), total care by
             operating surgeon...............................................................                            178.50
    # F201 Closed reduction, fracture/dislocation (Halo or caliper traction)                                  6          280.50          6
    # E383   - acute spinal cord injury premium, to F201 ................. add                                           255.00
    # N572 Open reduction, any single level, spine fracture/dislocation,
               anterior/posterior ................................................................ 8 1097.30 11
    # E395     - open reduction, additional level, spine fracture/
                 dislocation, anterior/posterior, to N572....................... add                  306.00
          [Commentary:
          For closed and open reduction of sacral or sacro-iliac fractures and/or dislocations, see listings
          in the Pelvis and Hip section of the Schedule.]
    # E383    - acute spinal cord injury premium, to N572................. add        255.00
    # E362    - combined thoracotomy/laparotomy, to N572.............. add            153.00
    # E378    - 3D stereotactic spinal procedure, to N572 ................. add       510.00
    # E379    - 2D stereotactic spinal procedure, to N572 ................. add       510.00
          [Commentary:
          See Spinal Surgical Procedures Preamble for definition of eligible 2D and 3D stereotactic
          navigation systems.]
    # N573 Anterior odontoid screw fixation..............................................                     8        1020.00          11
    # E378   - 3D stereotactic spinal procedure, to N573 ................. add                                          510.00
    # E379   - 2D stereotactic spinal procedure, to N573 ................. add                                          510.00
    # N570 Vertebroplasty (injection of bone cement) as sole procedure,
             first level .............................................................................        7        1004.50           9
    # E388   - vertebroplasty combined with any other procedure, first
                level, to other procedure ............................................ add                               204.00
    # E391   - vertebroplasty, each additional level, to N570 or E388
                 ................................................................................... add                 252.95
    # N583 Kyphoplasty (balloon tamp and injection of bone cement) as
             sole procedure, first level....................................................                   8       1201.55          11
    # E392   - kyphoplasty combined with any other procedure, first
               level, to other procedure ............................................ add                                510.00
    # E393   - kyphoplasty, each additional level, to N583 or E392.. add                                                 510.00
             Note:
             1.Decompressive services at the level of the fracture are not eligible for payment when
               rendered with N572 as they are included in the open reduction.
             2.No other services in the Spinal Surgical Procedures section are eligible for payment when
               rendered with N573 except E378 or E379.
             3.No other services in the Spinal Surgical Procedures section are eligible for payment when
               rendered with N570 except E391.
             4.No other services in the Spinal Surgical Procedures section are eligible for payment when
               rendered with N583 except E393.
             [Commentary:
             Fusion procedures are eligible for payment when performed in addition to N572.]

Master, record 1137. Record Layout PDF, page 1.

E39520250401999999990000306000000000000000000000000000000000000000000000000

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.