N509

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 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 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 797 / Z13

Note:
         1.The repeat decompression premium (E373) only applies to the major “N” prefix
           decompressive procedure (N500, N501, N502, N503, N504, N505, N506, N507, N508,
           N579, N509, N510, N511, N512).
         2.The repeat fusion premium (E375) only applies to the major fusion “E” or “N” prefix codes
           (E363, E365, E367, N516, N517, N518, N559, N580, E369, E384, E370, N528, N513, N519,
           N514, N581, N532, N515, N582).

Master, record 3859. Record Layout PDF, page 1.

N50920260401999999990001004700000001161900000000000000000191520000001915200

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.