Medicare Benefits Schedule - Note TN.8.146

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

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Multiple Operation Rule

Pedicle subtraction osteotomy, one vertebra, not being a service associated with a service to which item 51052, 51053, 51054, 51055, 51056, 51057, 51058 or 51059 applies

(Anaes.) (Assist.)

Fee: $2,107.55 Benefit: 75% = $1,580.70

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

Multiple Operation Rule

Pedicle subtraction osteotomy, 2 vertebrae, not being a service associated with a service to which item 51051, 51053, 51054, 51055, 51056, 51057, 51058 or 51059 applies

(Anaes.) (Assist.)

Fee: $2,563.30 Benefit: 75% = $1,922.50

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

Multiple Operation Rule

Vertebral column resection osteotomy performed through single posterior approach, one vertebra, not being a service associated with a service to which item 51051, 51052, 51054, 51055, 51056, 51057, 51058 or 51059 applies

(Anaes.) (Assist.)

Fee: $2,916.35 Benefit: 75% = $2,187.30

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

Multiple Operation Rule

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: $1,555.00 Benefit: 75% = $1,166.25

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

Multiple Operation Rule

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: $2,332.55 Benefit: 75% = $1,749.45

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

Multiple Operation Rule

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: $2,721.25 Benefit: 75% = $2,040.95

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

Multiple Operation Rule

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: $2,734.15 Benefit: 75% = $2,050.65

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

Multiple Operation Rule

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: $3,076.45 Benefit: 75% = $2,307.35

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

Multiple Operation Rule

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: $3,759.50 Benefit: 75% = $2,819.65

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