N513

PDF page 791 / Z7

Cervical … with instrumentation - by separate surgeon
# N528 C1/C2 screw fixation (transarticular, pedicle, lateral mass) ....                     1020.00
# E371 fusion to occiput, to N528 ................................................. add       816.00
# N513 One disc level - below C2 .......................................................        867.00
# E366    - each additional disc level fused except fusion to occiput or
            fusion of cervico-thoracic junction, to N528 or N513 . add                          153.00
# E377    - cervico-thoracic junction, to N513, N572, N574, N560 or
            N561 .......................................................................... add 255.00
      Note:
      Submit claims for levels fused in addition to N528 or N513 using one of E366, E371, or E377
      as appropriate.
         [Commentary:
         N513 will be reduced to E366 if claimed with N528.]

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 3863. Record Layout PDF, page 1.

N51320260401999999990000867000000000000000000000000000000000000000000000000

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.