N572

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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.]

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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.]

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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

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#
                                    SPINAL SURGICAL PROCEDURES
    FRACTURES OF THE SPINE
                                                                                                            Asst         Surg         Anae
    # F200 No reduction, brace (includes Halo orthosis), total care by
             operating surgeon...............................................................                            178.50
    # F201 Closed reduction, fracture/dislocation (Halo or caliper traction)                                  6          280.50          6
    # E383   - acute spinal cord injury premium, to F201 ................. add                                           255.00
    # N572 Open reduction, any single level, spine fracture/dislocation,
               anterior/posterior ................................................................ 8 1097.30 11
    # E395     - open reduction, additional level, spine fracture/
                 dislocation, anterior/posterior, to N572....................... add                  306.00
          [Commentary:
          For closed and open reduction of sacral or sacro-iliac fractures and/or dislocations, see listings
          in the Pelvis and Hip section of the Schedule.]
    # E383    - acute spinal cord injury premium, to N572................. add        255.00
    # E362    - combined thoracotomy/laparotomy, to N572.............. add            153.00
    # E378    - 3D stereotactic spinal procedure, to N572 ................. add       510.00
    # E379    - 2D stereotactic spinal procedure, to N572 ................. add       510.00
          [Commentary:
          See Spinal Surgical Procedures Preamble for definition of eligible 2D and 3D stereotactic
          navigation systems.]
    # N573 Anterior odontoid screw fixation..............................................                     8        1020.00          11
    # E378   - 3D stereotactic spinal procedure, to N573 ................. add                                          510.00
    # E379   - 2D stereotactic spinal procedure, to N573 ................. add                                          510.00
    # N570 Vertebroplasty (injection of bone cement) as sole procedure,
             first level .............................................................................        7        1004.50           9
    # E388   - vertebroplasty combined with any other procedure, first
                level, to other procedure ............................................ add                               204.00
    # E391   - vertebroplasty, each additional level, to N570 or E388
                 ................................................................................... add                 252.95
    # N583 Kyphoplasty (balloon tamp and injection of bone cement) as
             sole procedure, first level....................................................                   8       1201.55          11
    # E392   - kyphoplasty combined with any other procedure, first
               level, to other procedure ............................................ add                                510.00
    # E393   - kyphoplasty, each additional level, to N583 or E392.. add                                                 510.00
             Note:
             1.Decompressive services at the level of the fracture are not eligible for payment when
               rendered with N572 as they are included in the open reduction.
             2.No other services in the Spinal Surgical Procedures section are eligible for payment when
               rendered with N573 except E378 or E379.
             3.No other services in the Spinal Surgical Procedures section are eligible for payment when
               rendered with N570 except E391.
             4.No other services in the Spinal Surgical Procedures section are eligible for payment when
               rendered with N583 except E393.
             [Commentary:
             Fusion procedures are eligible for payment when performed in addition to N572.]

Master, record 3922. Record Layout PDF, page 1.

N57220260401999999990001097300000001032800000000000000000175560000001755600

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.