N519

C1/C2 fusion using graft/posterior wires

Fee

ComponentValue
Provider fee$612.00
Assistant, listing; PDF p. 7938 basic units
Anaesthesia, listing; PDF p. 79310 basic units
Schedule and sources
Fee edition
October 1, 2026
Record effective
2026-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 793 / Z9

C1/C2 fusion using graft/posterior wires................................. 8 612.00 10
Passages mentioning N519

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

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).
Fee master record

Master, record 3869. Record Layout PDF, page 1.

N51920260401999999990000612000000001032800000000000000000159600000001596000

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.

FieldRaw / scale 10,000
provider00006120000 / 612
assistant00001032800 / 103.28
specialist00000000000 / 0
anaesthetist00001596000 / 159.6
non anaesthetist00001596000 / 159.6
Explanation

AI-generated. Unreviewed.

This listing is for a C1/C2 fusion using graft and posterior wires, under posterior spinal arthrodesis as the sole procedure in the cervical and thoracic spine, without instrumentation.

Watch out for

Not eligible for payment when rendered with any other fusion procedure at the same level. Claims for levels fused in addition to N519 are submitted using E364.

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
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