N540

PDF page 104 / GP90

SECOND ASSISTANT
Payment rules:
When more than one assistant was required for a surgical procedure, unless the service is listed
below, the second assistant’s service is only eligible for payment following authorization by a medical
consultant and requires submission of a letter from the surgeon outlining the reason the second
assistant was required. The amount payable for the second assistant is calculated in the same
manner as the amount payable for the first assistant.
Services where a second assistant's services are payable and authorization is not required:
D043, D046, D047, D052, D060, E645, F135, M112, M117, M134, M142, N539, N540, P042, P051,
P052, P056, P059, R008, R009, R013, R014, R015, R016, R055, R056, R064, R065, R067, R069,
R134, R135, R136, R140, R182, R240, R241, R244, R326, R327, R334, R393, R438, R440, R441,
R483, R487, R545, R553, R568, R593, R594, R617, R645, R701, R702, R704, R712, R713, R714,
R715, R718, R726, R727, R728, R729, R732, R733, R734, R735, R737, R739, R742, R743, R746,
R747, R749, R764, R770, R771, R772, R773, R774, R786, R799, R800, R801, R802, R803, R804,
R811, R815, R817, R818, R830, R832, R858, R863, R870, R872, R874, R876, R927, R929, R920,
R930, S005, S007, S079, S090, S091, S092, S096, S098, S099, S120, S125, S189, S210, S211,
S213, S214, S267, S270, S271, S274, S275, S294, S295, S298, S300, S321, S416, S429, S440,
S441, S453, S454, S462, S484, S750, S757, S758, S759, S816
       [Commentary:
       E003B is not eligible for payment for second assistant services.]

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.]

Master, record 3890. Record Layout PDF, page 1.

N54020260401999999990003230100000001420100000000000000000319200000003192000

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.