E987

PDF page 755 / X3

NEUROLOGICAL SURGICAL PROCEDURES
 CRANIAL
                                                                             Asst     Surg      Anae
         2.“Flow-diverter devices” refer to endovascular implants designed to be deployed within the
           parent artery across the neck of an aneurysm to redirect blood flow away from the aneurysm
           sac.]
    Cerebral arteriovenous malformation
     Endovascular approach for obliteration
# N107 Endovascular approach to include balloon catheter or
         embolization techniques for arteriovenous malformation ...                               15   1456.95   15
    Carotid-cavernous fistula
# N118 Endovascular approach to include balloon catheter or
          embolization techniques for dural arteriovenous fistula
          including carotid cavernous fistula .....................................               15    952.05   15
    Endovascular thrombectomy (EVT)
# N131 Endovascular thrombectomy for acute ischemic stroke
          secondary to large vessel occlusion...................................    15 1456.95 15
# E987    - with intracranial stent, to N131................................... add     600.00
# E988    - with extracranial stent, to N131.................................. add      450.00
      Payment rules:
      1.N131 includes all components of the EVT including vascular access, catheter placement,
        angiography, any image guidance, mechanical thrombectomy and revascularization
        assessment.
         2.Obtaining and interpreting any images in conjunction with N131 are not eligible for payment
           to any physician. No other ‘X’ or ‘J’-prefix services are eligible for payment during the same
           operative session.
         3.E987 and E988 are payable once per eligible fee code per EVT session regardless of the
           number of stents deployed
    SPONTANEOUS INTRACEREBRAL HAEMORRHAGE
    Craniotomy plus removal
# N104 - supratentorial......................................................................     15   1416.40   15
# N157 - infratentorial........................................................................   15   1704.00   15
# N120 Burr hole plus drainage...........................................................         15    481.90   15
    INTRACRANIAL CYST
    Craniotomy plus evacuation
# N158 - supratentorial......................................................................     15    968.50   15
# N159 - infratentorial........................................................................   15   1065.05   15
      Note:
      N158, N159 to include interventriculostomy.
# N160 Burr hole plus aspiration .........................................................        15    426.95   15

Master, record 1672. Record Layout PDF, page 1.

E98720260401999999990000600000000000000000000000000000000000000000000000000

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.