Medicare Benefits Schedule - Note TN.8.146

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.146

Spinal Osteotomy and/or vertebrectomy - Items 51051 to 51059

Items 51051 to 51059 are intended for spinal osteotomy and/or vertebrectomy at any level.

For the purpose of items 51054, 51055 and 51056, the definition of piecemeal or subtotal excision is the removal of at least 50% of the vertebral body.

Items 51051 to 51059 cannot be claimed with any item between 51041 and 51045 if performed at the same motion segment.

Related Items: 51051 51052 51053 51054 51055 51056 51057 51058 51059


Related Items

Category 3 - THERAPEUTIC PROCEDURES

51051

51051 - Additional Information

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

Pedicle subtraction osteotomy, one motion segment, not being a service associated with:

(a) anterior column fusion when at the same motion segment; or

(b) a service to which item 51052, 51053, 51054, 51055, 51056, 51057, 51058 or 51059 applies

(Anaes.) (Assist.)

Fee: $1,879.60 Benefit: 75% = $1,409.70

(See para TN.8.141, TN.8.146 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

51052

51052 - Additional Information

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

Pedicle subtraction osteotomy, 2 motion segments, not being a service associated with:

(a) anterior column fusion when at the same motion segment; or

(b) a service to which item 51051, 51053, 51054, 51055, 51056, 51057, 51058 or 51059 applies

(Anaes.) (Assist.)

Fee: $2,286.00 Benefit: 75% = $1,714.50

(See para TN.8.141, TN.8.146 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

51053

51053 - Additional Information

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

Vertebral column resection osteotomy performed through single posterior approach, one motion segment, not being a service associated with:

(a) anterior column fusion when at the same motion segment; or

(b) a service to which item 51051, 51052, 51054, 51055, 51056, 51057, 51058 or 51059 applies

(Anaes.) (Assist.)

Fee: $2,600.95 Benefit: 75% = $1,950.75

(See para TN.8.141, TN.8.146 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

51054

51054 - Additional Information

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

Vertebral body, piecemeal or subtotal excision of (where piecemeal or subtotal excision is defined as removal of more than 50% of the vertebral body), one vertebra, not being a service associated with:

(a) anterior column fusion when at the same motion segment; or

(b) a service to which item 51051, 51052, 51053, 51055, 51056, 51057, 51058 or 51059 applies

(Anaes.) (Assist.)

Fee: $1,386.85 Benefit: 75% = $1,040.15

(See para TN.8.141, TN.8.146 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

51055

51055 - Additional Information

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

Vertebral body, piecemeal or subtotal excision of (where piecemeal or subtotal excision is defined as removal of more than 50% of the vertebral body), 2 vertebrae, not being a service associated with:

(a) anterior column fusion when at the same motion segment; or

(b) a service to which item 51051, 51052, 51053, 51054, 51056, 51057, 51058 or 51059 applies

(Anaes.) (Assist.)

Fee: $2,080.25 Benefit: 75% = $1,560.20

(See para TN.8.141, TN.8.146 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

51056

51056 - Additional Information

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

Vertebral body, piecemeal or subtotal excision of (where piecemeal or subtotal excision is defined as removal of more than 50% of the vertebral body), 3 or more vertebrae, not being a service associated with:

(a) anterior column fusion when at the same motion segment; or

(b) a service to which item 51051, 51052, 51053, 51054, 51055, 51057, 51058 or 51059 applies

(Anaes.) (Assist.)

Fee: $2,426.95 Benefit: 75% = $1,820.25

(See para TN.8.141, TN.8.146 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

51057

51057 - Additional Information

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

Vertebral body, en bloc excision of (complete spondylectomy), one vertebra, not being a service associated with:

(a) anterior column fusion when at the same motion segment; or

(b) a service to which item 51051, 51052, 51053, 51054, 51055, 51056, 51058 or 51059 applies

(Anaes.) (Assist.)

Fee: $2,438.40 Benefit: 75% = $1,828.80

(See para TN.8.141, TN.8.146 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

51058

51058 - Additional Information

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

Vertebral body, en bloc excision of (complete spondylectomy), 2 vertebrae, not being a service associated with:

(a) anterior column fusion when at the same motion segment; or

(b) a service to which item 51051, 51052, 51053, 51054, 51055, 51056, 51057 or 51059 applies

(Anaes.) (Assist.)

Fee: $2,743.70 Benefit: 75% = $2,057.80

(See para TN.8.141, TN.8.146 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

51059

51059 - Additional Information

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

Vertebral body, en bloc excision of (complete spondylectomy), 3 or more vertebrae, not being a service associated with:

(a) anterior column fusion when at the same motion segment; or

(b) a service to which item 51051, 51052, 51053, 51054, 51055, 51056, 51057 or 51058 applies

(Anaes.) (Assist.)

Fee: $3,352.80 Benefit: 75% = $2,514.60

(See para TN.8.141, TN.8.146 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