Search 6,000+ Medicare item numbers across all categories including Pathology and Diagnostic Imaging
| Item No. | Description | Schedule Fee | Status | ||||
|---|---|---|---|---|---|---|---|
| 51033 | Group T8 | $1577.65 | ≠ CHANGED | ||||
|
Item Number
51033
Schedule Fee
$1577.65
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Spine, posterior and/or posterolateral bone graft to, 3 motion segments, not being a service associated with a service to which item 51031, 51032, 51034, 51035 or 51036 applies (Anaes.) (Assist.)
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| 51034 | Group T8 | $1690.25 | ≠ CHANGED | ||||
|
Item Number
51034
Schedule Fee
$1690.25
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Spine, posterior and/or posterolateral bone graft to, 4 to 7 motion segments, not being a service associated with a service to which item 51031, 51032, 51033, 51035 or 51036 applies (Anaes.) (Assist.)
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| 51035 | Group T8 | $1803.00 | ≠ CHANGED | ||||
|
Item Number
51035
Schedule Fee
$1803.00
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Spine, posterior and/or posterolateral bone graft to, 8 to 11 motion segments, not being a service associated with a service to which item 51031, 51032, 51033, 51034 or 51036 applies (Anaes.) (Assist.)
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| 51036 | Group T8 | $1915.60 | ≠ CHANGED | ||||
|
Item Number
51036
Schedule Fee
$1915.60
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Spine, posterior and/or posterolateral bone graft to, 12 or more motion segments, not being a service associated with a service to which item 51031, 51032, 51033, 51034 or 51035 applies (Anaes.) (Assist.)
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| 51041 | Group T8 | $1295.85 | ≠ CHANGED | ||||
|
Item Number
51041
Schedule Fee
$1295.85
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Spinal fusion, anterior column (anterior, direct lateral or posterior interbody), one motion segment, not being a service associated with a service to which item 51042, 51043, 51044 or 51045 applies (Anaes.) (Assist.)
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| 51042 | Group T8 | $1814.30 | ≠ CHANGED | ||||
|
Item Number
51042
Schedule Fee
$1814.30
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Spinal fusion, anterior column (anterior, direct lateral or posterior interbody), 2 motion segments, not being a service associated with a service to which item 51041, 51043, 51044 or 51045 applies (Anaes.) (Assist.)
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| 51043 | Group T8 | $2267.85 | ≠ CHANGED | ||||
|
Item Number
51043
Schedule Fee
$2267.85
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Spinal fusion, anterior column (anterior, direct lateral or posterior interbody), 3 motion segments, not being a service associated with a service to which item 51041, 51042, 51044 or 51045 applies (Anaes.) (Assist.)
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|
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| 51044 | Group T8 | $2462.20 | ≠ CHANGED | ||||
|
Item Number
51044
Schedule Fee
$2462.20
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Spinal fusion, anterior column (anterior, direct lateral or posterior interbody), 4 motion segments, not being a service associated with a service to which item 51041, 51042, 51043 or 51045 applies (Anaes.) (Assist.)
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|||||||
| 51045 | Group T8 | $2591.75 | ≠ CHANGED | ||||
|
Item Number
51045
Schedule Fee
$2591.75
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Spinal fusion, anterior column (anterior, direct lateral or posterior interbody), 5 or more motion segments, not being a service associated with a service to which item 51041, 51042, 51043 or 51044 applies (Anaes.) (Assist.)
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|||||||
| 51051 | Group T8 | $2214.25 | ≠ CHANGED | ||||
|
Item Number
51051
Schedule Fee
$2214.25
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
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.)
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| 51052 | Group T8 | $2693.05 | ≠ CHANGED | ||||
|
Item Number
51052
Schedule Fee
$2693.05
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
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.)
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| 51053 | Group T8 | $3064.00 | ≠ CHANGED | ||||
|
Item Number
51053
Schedule Fee
$3064.00
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
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.)
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|||||||
| 51054 | Group T8 | $1633.70 | ≠ CHANGED | ||||
|
Item Number
51054
Schedule Fee
$1633.70
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
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.)
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|||||||
| 51055 | Group T8 | $2450.65 | ≠ CHANGED | ||||
|
Item Number
51055
Schedule Fee
$2450.65
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
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.)
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|||||||
| 51056 | Group T8 | $2859.00 | ≠ CHANGED | ||||
|
Item Number
51056
Schedule Fee
$2859.00
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
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.)
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|||||||
| 51057 | Group T8 | $2872.55 | ≠ CHANGED | ||||
|
Item Number
51057
Schedule Fee
$2872.55
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
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.)
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|||||||
| 51058 | Group T8 | $3232.20 | ≠ CHANGED | ||||
|
Item Number
51058
Schedule Fee
$3232.20
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
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.)
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|||||||
| 51059 | Group T8 | $3949.85 | ≠ CHANGED | ||||
|
Item Number
51059
Schedule Fee
$3949.85
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
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.)
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|||||||
| 51061 | Group T8 | $3392.80 | ≠ CHANGED | ||||
|
Item Number
51061
Schedule Fee
$3392.80
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Spinal fusion, anterior and posterior, including spinal instrumentation at one motion segment, posterior and/or posterolateral bone graft, and anterior column fusion, not being a service associated with a service to which item 51062, 51063, 51064, 51065 or 51066 applies (Anaes.) (Assist.)
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|||||||
| 51062 | Group T8 | $4397.80 | ≠ CHANGED | ||||
|
Item Number
51062
Schedule Fee
$4397.80
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Spinal fusion, anterior and posterior, including spinal instrumentation at 2 motion segments, posterior and/or posterolateral bone graft, and anterior column fusion, not being a service associated with a service to which item 51061, 51063, 51064, 51065 or 51066 applies (Anaes.) (Assist.)
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|||||||
| 51063 | Group T8 | $5326.60 | ≠ CHANGED | ||||
|
Item Number
51063
Schedule Fee
$5326.60
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Spinal fusion, anterior and posterior, including spinal instrumentation at 3 motion segments, posterior and/or posterolateral bone graft, and anterior column fusion, not being a service associated with a service to which item 51061, 51062, 51064, 51065 or 51066 applies (Anaes.) (Assist.)
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|||||||
| 51064 | Group T8 | $5928.00 | ≠ CHANGED | ||||
|
Item Number
51064
Schedule Fee
$5928.00
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Spinal fusion, anterior and posterior, including spinal instrumentation at 4 to 7 motion segments, posterior and/or posterolateral bone graft, and anterior column fusion, not being a service associated with a service to which item 51061, 51062, 51063, 51065 or 51066 applies (Anaes.) (Assist.)
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|||||||
| 51065 | Group T8 | $6556.45 | ≠ CHANGED | ||||
|
Item Number
51065
Schedule Fee
$6556.45
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Spinal fusion, anterior and posterior, including spinal instrumentation at 8 to 11 motion segments, posterior and/or posterolateral bone graft, and anterior column fusion, not being a service associated with a service to which item 51061, 51062, 51063, 51064 or 51066 applies (Anaes.) (Assist.)
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|||||||
| 51066 | Group T8 | $6903.20 | ≠ CHANGED | ||||
|
Item Number
51066
Schedule Fee
$6903.20
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Spinal fusion, anterior and posterior, including spinal instrumentation at 12 or more motion segments, posterior and/or posterolateral bone graft, and anterior column fusion not being a service associated with a service to which item 51061, 51062, 51063, 51064 or 51065 applies (Anaes.) (Assist.)
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|||||||
| 51071 | Group T8 | $2992.25 | ≠ CHANGED | ||||
|
Item Number
51071
Schedule Fee
$2992.25
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Removal of intradural lesion, or primary extradural tumour or lesion, where the pathology is confirmed by histology - not including removal of synovial or juxtafacet cyst and not being a service associated with a service to which item 51072 or 51073 applies (H) (Anaes.) (Assist.)
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|||||||
| 51072 | Group T8 | $3111.95 | ≠ CHANGED | ||||
|
Item Number
51072
Schedule Fee
$3111.95
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Craniocervical junction lesion, transoral approach for, not being a service associated with a service to which item 51071 or 51073 applies (Anaes.) (Assist.)
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|||||||
| 51073 | Group T8 | $3949.85 | ≠ CHANGED | ||||
|
Item Number
51073
Schedule Fee
$3949.85
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Removal of intramedullary tumour or arteriovenous malformation, not being a service associated with a service to which item 51071 or 51072 applies (Anaes.) (Assist.)
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| 51102 | Group T8 | $1416.50 | ≠ CHANGED | ||||
|
Item Number
51102
Schedule Fee
$1416.50
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Thoracoplasty in combination with thoracic scoliosis correction—3 or more ribs (Anaes.) (Assist.)
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|||||||
| 51103 | Group T8 | $2489.25 | ≠ CHANGED | ||||
|
Item Number
51103
Schedule Fee
$2489.25
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Odontoid screw fixation (Anaes.) (Assist.)
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|||||||
| 51110 | Group T8 | $901.55 | ≠ CHANGED | ||||
|
Item Number
51110
Schedule Fee
$901.55
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Spine, treatment of fracture, dislocation or fracture‑dislocation, with immobilisation by calipers or halo, not including application of skull tongs or calipers as part of operative positioning (H) (Anaes.)
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|||||||
| 51111 | Group T8 | $383.20 | ≠ CHANGED | ||||
|
Item Number
51111
Schedule Fee
$383.20
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Skull calipers or halo, insertion of, as an independent procedure (Anaes.)
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|||||||
| 51112 | Group T8 | $259.10 | ≠ CHANGED | ||||
|
Item Number
51112
Schedule Fee
$259.10
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Plaster jacket, application of, as an independent procedure (Anaes.)
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|||||||
| 51113 | Group T8 | $287.35 | ≠ CHANGED | ||||
|
Item Number
51113
Schedule Fee
$287.35
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Halo, application of, in addition to spinal fusion for scoliosis, or other conditions (Anaes.)
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|||||||
| 51114 | Group T8 | $507.25 | ≠ CHANGED | ||||
|
Item Number
51114
Schedule Fee
$507.25
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Halo thoracic orthosis—application of both halo and thoracic jacket (Anaes.)
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|||||||
| 51115 | Group T8 | $507.25 | ≠ CHANGED | ||||
|
Item Number
51115
Schedule Fee
$507.25
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Halo‑femoral traction, as an independent procedure (H) (Anaes.)
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|||||||
| 51120 | Group T8 | $281.85 | ≠ CHANGED | ||||
|
Item Number
51120
Schedule Fee
$281.85
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Bone graft, harvesting of autogenous graft, via separate incision or via subcutaneous approach, in conjunction with spinal fusion, other than for the purposes of bone graft obtained from the cervical, thoracic, lumbar or sacral spine (Anaes.)
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|||||||
| 51130 | Group T8 | $2146.80 | ≠ CHANGED | ||||
|
Item Number
51130
Schedule Fee
$2146.80
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Lumbar artificial intervertebral total disc replacement, at one motion segment only, including removal of disc and marginal osteophytes: (a) for a patient who: (i) has not had prior spinal fusion surgery at the same lumbar level; and (ii) does not have vertebral osteoporosis; and (iii) has failed conservative therapy; and (b) not being a service associated with a service to which item 51011, 51012, 51013, 51014 or 51015 applies (Anaes.) (Assist.)
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| 51131 | Group T8 | $1295.85 | ≠ CHANGED | ||||
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Item Number
51131
Schedule Fee
$1295.85
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Cervical artificial intervertebral total disc replacement, at one motion segment only, including removal of disc and marginal osteophytes, for a patient who: (a) has not had prior spinal surgery at the same cervical level; and (b) is skeletally mature; and (c) has symptomatic degenerative disc disease with radiculopathy; and (d) does not have vertebral osteoporosis; and (e) has failed conservative therapy (Anaes.) (Assist.)
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| 51140 | Group T8 | $529.55 | ≠ CHANGED | ||||
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Item Number
51140
Schedule Fee
$529.55
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Previous spinal fusion, re-exploration for, involving adjustment or removal of instrumentation up to 3 motion segments, not being a service associated with a service to which item 51141 applies (Anaes.) (Assist.)
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| 51141 | Group T8 | $979.80 | ≠ CHANGED | ||||
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Item Number
51141
Schedule Fee
$979.80
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Previous spinal fusion, re-exploration for, involving adjustment or removal of instrumentation more than 3 motion segments, not being a service associated with a service to which item 51140 applies (Anaes.) (Assist.)
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| 51145 | Group T8 | $529.55 | ≠ CHANGED | ||||
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Item Number
51145
Schedule Fee
$529.55
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Wound debridement or excision for post operative infection or haematoma following spinal surgery (Anaes.) (Assist.)
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| 51150 | Group T8 | $533.15 | ≠ CHANGED | ||||
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Item Number
51150
Schedule Fee
$533.15
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Coccyx, excision of (Anaes.) (Assist.)
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| 51160 | Group T8 | $1376.45 | ≠ CHANGED | ||||
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Item Number
51160
Schedule Fee
$1376.45
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Anterior exposure of thoracic or lumbar spine, one motion segment, not being a service to which item 51165 applies (Anaes.) (Assist.)
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| 51165 | Group T8 | $1735.55 | ≠ CHANGED | ||||
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Item Number
51165
Schedule Fee
$1735.55
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Anterior exposure of thoracic or lumbar spine, more than one motion segment, excluding vertebral body tethering for the treatment of scoliosis and not being a service to which item 51160 applies (H) (Anaes.) (Assist.)
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| 51170 | Group T8 | $2614.75 | ≠ CHANGED | ||||
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Item Number
51170
Schedule Fee
$2614.75
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Syringomyelia or hydromyelia, craniotomy for, with or without duraplasty, intradural dissection, plugging of obex or local cerebrospinal fluid shunt (Anaes.) (Assist.)
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| 51171 | Group T8 | $1098.05 | ≠ CHANGED | ||||
|
Item Number
51171
Schedule Fee
$1098.05
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Syringomyelia or hydromyelia, treatment by direct cerebrospinal fluid shunt (for example, syringosubarachnoid shunt, syringopleural shunt or syringoperitoneal shunt) (Anaes.) (Assist.)
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| 51300 | Group T9 | $103.25 | ≠ CHANGED | ||||
|
Item Number
51300
Schedule Fee
$103.25
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T9
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Descriptor ≠
Full Description
Assistance at any operation mentioned in an item in Group T8 that includes “(Assist.)” for which the fee does not exceed $668.25 or at a series or combination of operations mentioned in an item in Group T8 that include “(Assist.)” for which the aggregate fee does not exceed $668.25
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| 51303 | Group T9 | — | ✎ UPDATED | ||||
|
Item Number
51303
Schedule Fee
—
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T9
Type Codes
Item: S
Fee: D
Benefit: C
Effective Dates
Item from: 01.12.1991
Gov. Change Flags
Descriptor ≠
Full Description
Assistance at any operation mentioned in an item in Group T8 that includes “(Assist.)” for which the fee exceeds $668.25 or at a series or combination of operations mentioned in an item in Group T8 that include “(Assist.)” for which the aggregate fee exceeds $668.25
Derived Fee Formula
one fifth of the established fee for the operation or combination of operations
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| 51306 | Group T9 | $149.25 | ≠ CHANGED | ||||
|
Item Number
51306
Schedule Fee
$149.25
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T9
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Assistance at a birth involving Caesarean section (H)
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| 51309 | Group T9 | — | |||||
|
Item Number
51309
Schedule Fee
—
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T9
Type Codes
Item: S
Fee: D
Benefit: A
Effective Dates
Item from: 01.12.1991
Gov. Change Flags
No changes flagged
Full Description
Assistance at a series or combination of operations that include “(Assist.)” and assistance at a birth involving Caesarean section (H)
Derived Fee Formula
one fifth of the established fee for the operation or combination of operations (the fee for item 16520 being the Schedule fee for the Caesarean section component in the calculation of the established fee)
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