Medicare Benefits Schedule - Note TN.8.143

Search Results for Note TN.8.143

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.143

Spinal Instrumentation (cervical, thoracic and lumbar) - Items 51020 to 51026

Items 51020 to 51026 are intended for spinal instrumentation at any level. The appropriate item is determined by the number of motion segments instrumented, barring item 51020 which applies to one vertebra.

For posterolateral spinal fusion with instrumentation, two item numbers are selected: one from 51020 to 51026 and one from 51031 to 51036.  If decompression is also performed, three items are selected: one from 51011 to 51015, one from 51020 to 51026 and one from 51031 to 51036.

For instrumented spinal fusion with interbody and posterolateral bone graft (with or without cages) and decompression, four item numbers are selected: one from one from 51011 to 51015, one from 51020 to 51026, one from 51031 to 51036 and one from 51041 to 51045.

Related Items: 51020 51021 51022 51023 51024 51025 51026


Related Items

Category 3 - THERAPEUTIC PROCEDURES

51020

51020 - Additional Information

Item Start Date:
01-Nov-2018
Description Updated:
01-Nov-2018
Schedule Fee Updated:
01-Jul-2019

Simple fixation of part of one vertebra (not motion segment) including pars interarticularis, spinous process or pedicle, or simple interspinous wiring between 2 adjacent vertebral levels, not being a service associated with:

(a) interspinous dynamic stabilisation devices; or

(b) a service to which item 51021, 51022, 51023, 51024, 51025 or 51026 applies

(Anaes.) (Assist.)

Fee: $777.70 Benefit: 75% = $583.30

(See para TN.8.141, TN.8.143 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

51021

51021 - Additional Information

Item Start Date:
01-Nov-2018
Description Updated:
01-Nov-2018
Schedule Fee Updated:
01-Jul-2019

Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, one motion segment, not being a service associated with a service to which item 51020, 51022, 51023, 51024, 51025 or 51026 applies

(Anaes.) (Assist.)

Fee: $1,301.70 Benefit: 75% = $976.30

(See para TN.8.141, TN.8.143 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

51022

51022 - Additional Information

Item Start Date:
01-Nov-2018
Description Updated:
01-Nov-2018
Schedule Fee Updated:
01-Jul-2019

Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, 2 motion segments, not being a service associated with a service to which item 51020, 51021, 51023, 51024, 51025 or 51026 applies

(Anaes.) (Assist.)

Fee: $1,619.20 Benefit: 75% = $1,214.40

(See para TN.8.141, TN.8.143 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

51023

51023 - Additional Information

Item Start Date:
01-Nov-2018
Description Updated:
01-Nov-2018
Schedule Fee Updated:
01-Jul-2019

Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, 3 or 4 motion segments, not being a service associated with a service to which item 51020, 51021, 51022, 51024, 51025 or 51026 applies

(Anaes.) (Assist.)

Fee: $1,926.95 Benefit: 75% = $1,445.25

(See para TN.8.141, TN.8.143 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

51024

51024 - Additional Information

Item Start Date:
01-Nov-2018
Description Updated:
01-Nov-2018
Schedule Fee Updated:
01-Jul-2019

Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, 5 or 6 motion segments, not being a service associated with a service to which item 51020, 51021, 51022, 51023, 51025 or 51026 applies

(Anaes.) (Assist.)

Fee: $2,224.65 Benefit: 75% = $1,668.50

(See para TN.8.141, TN.8.143 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

51025

51025 - Additional Information

Item Start Date:
01-Nov-2018
Description Updated:
01-Nov-2018
Schedule Fee Updated:
01-Jul-2019

Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, 7 to 12 motion segments, not being a service associated with a service to which item 51020, 51021, 51022, 51023, 51024 or 51026 applies

(Anaes.) (Assist.)

Fee: $2,600.15 Benefit: 75% = $1,950.15

(See para TN.8.141, TN.8.143 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

51026

51026 - Additional Information

Item Start Date:
01-Nov-2018
Description Updated:
01-Nov-2018
Schedule Fee Updated:
01-Jul-2019

Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, more than 12 motion segments, not being a service associated with a service to which item 51020, 51021, 51022, 51023, 51024 or 51025 applies

(Anaes.) (Assist.)

Fee: $2,846.75 Benefit: 75% = $2,135.10

(See para TN.8.141, TN.8.143 of explanatory notes to this Category)


Legend

  • Assist - Addition/Deletion of (Assist.)
  • Amend - Amended Description
  • Anaes - Anaesthetic Values Amended
  • Emsn - EMSN Change
  • Fee - Fee Amended
  • Renum - Item Number Change (renumbered)
  • New - New Item
  • NewMin - New Item (previous Ministerial Determination)
  • Qfe - QFE Change