جراحة الدماغ والأعصاب

الرقم الاجراء عدد النقاط   SPINAL   3401 POSTERIOR SPINAL DECOMPRESSIVE PROCEDURES   3405 1. LUMBAR DISC PROLAPSE FENESTRATION ONE LEVEL UNILATERAL 115 3409 2. EVERY OTHER FENESTRATION     ADD 25 3413 3. LUMBARLAMINECTOMY + DISCECTOMY ONE LEVEL = 130   (AS BILATERAL FENESTRATIONS   ONE LEVEL)   3417 EACH ADDITIONAL LEVEL   ADD (AS 2 ADDITIONAL FENESTRATIONS) 50 3421 4. REPEAT POSTERIOR EXPLORATION OR RE-OPENING OF POSTERIOR 150   EXPLORATION MORE THAN SIX MONTHS AFTER ORIGINAL PROCEDURE,     INCLUDES FORAMINOTOMY DISCECTOMY OR NEUROLYSIS   3425 5. MULTIPLE LEVELS, TO ABOVE PER ADDITIONAL LEVEL   ADD 20 3429 6. FORAMINOTOMY TO ABOVE                                                   ADD 20 3433 1. SIMPLE ANTERIOR CERVICAL DISCECTOMY 115 3437 2. EACH ADDITIONAL DISC LEVEL DECOMPRESSED, TO ABOVE    ADD 50 3441 3. ANTERIOR CERVICAL SPINAL CORD OR NERVE ROOT DECOMPRESSION 150   INCLUDING REMOVAL OF DISC OR VERTEBRAL BODY, SINGLE DISC LEVEL   3445 1. COSTO TRANSVERSECTOMY 130 3449 2. LAMINECTOMY + FUSION WITH ORTHOPAEDIC SURGEON (FEES FOR BOTH) 200   FUSIONS   3453 ANTERIOR CERVICAL INTERBODY FUSION BY SAME SURGEON     TO DISCECTOMY PER DISC LEVEL             ADD 20   TUMOURS   3457 EXTRADURAL PARTIAL OR TOTAL REMOVAL 170 3461 INTRAMEDULLARY   3465 1. BIOPSY AND/OR DECOMPRESSION 140 3469 2. REMOVAL 200   OTHER LAMINECTOMIES (UNI OR BILATERAL)   3473 LAMINECTOMY FOR INTRADURAL NEUROL YSIS OR UNUSUAL LESION E.G. 150   DIASTEMATOMYELLA, TETHERED CONUS, INTRAMEDULLARY     HAEMATOMA, ETC   3477 LAMINECTOMY EXTENDING OVER THREE SEGMENTS OR MORE     (APPLIES TO TETHERED CONUS, DIASTEMATOMYELIA, EXTRADURAL,     INTRADURAL OR INTRAMEDULLARY TUMOUR. AVM, OR OTHER     DECOMPRESSIVE LAMINECTOMY)           ADD 35 3481 SYRINGO SUBARACHNOID SHUNT 150   SPINAL FRACTURES   3485 SKULL CALIPERS 15 3489 HALO TRACTION 20 3493 OPEN REDUCTION   3497 1. POSTERIOR APPROACH 130 3501 2. ANTERIOR APPROACH 150 3505 FUSION BY SAME SURGEON & INTERNAL 130 3509 FUSION OF CL-2 WITH INSTRUMENTATION 130   MENINGOCELE AND MENINGOMYELOCELE   3513 REPAIR OF MENINGOCELE 60 3517 REPAIR OF MENINGOMYLOCELE 92 3521 REPAIR OF LIPOMENINGOCELE 130   (TO INCLUDE RELEASE OF TETHERED SPINAL CORD)   3525 REPAIR OF INTRSPINAL MENINGOCELE (EXTRADURAL CYST) 123 3529 SPINAL DUROPLASTY (APPLIES TO ANY SPINAL PROCEDURE) 38   PERIPHERAL NERVES   3533 ADD 40% OF BASIC FEE FOR NEUROLYSIS, TUMOUR EXCISION, NERVE     OR GRAFT WHEN USING OPERATING MICROSCOPE EXPLORATION,     DECOMPRESSION, DIVISION, BIOPSY, NEUROLYSIS, TRANSPOSITION,     (INCLUDING TUMOUR AND NEUROMA)   3537 MINOR NERVE E.G. DIGITAL OR CUTANEOUS 25 3541 MAJOR NERVE (EXCEPT CARPAL TUNNEL OR ULNAR AT ELBOW) 60 3545 SCIATIC NERVE IN BUTTOCK 70 3549 TUMOUR OR NEUROMA-MAJOR NERVE 55 3553 NERVE SUTURE-MINOR 28 3557                ـ MAJOR    68 3561 NERVE GRAFT - MINOR 48 3565                ـ MAJOR    92 3569 FOR EACH ADDITIONAL CABLE, ADD TO ABOVE 25 3573 CARPAL TUNNEL RELEASE/UNILATERAL 30 3577 ULNAR NERVE DECOMPRESSION, TRANSPOSITION AT ELBOW 60 3581 DECOMPRESSION, EXPLORATION FOR THORACIC OUTLET SYNDROME 75   INCLUDING EXCISION OF CERVICAL AND/OR FIRST RIB AND TO      INCLUDE SCALENOTOMY   3585 EXCISION OF MORTON'S OR SUBCUTANEOUS NEUROMA, GLOMUS OR 20   SMALL CUTANEOUS NERVE TUMOUR     AUTONOMIC NERVOUS SYSTEM   3589 CERVICAL & SYMPATHECTOMY 100 3593 LUMBAR SYMPATHECTOMY 55 3597 THORACO LUMBAR SYMPATHECTOMY 70   CRANIAL NERVES   3601 1. PRECUTANEOUS COAGULATION OR GL YCEROL INJECTION OFGASSERIAN 60   (TRIGEMINAL) GANGLION OR ROOT-UNILATERAL NERVE   3605 2. V-DECOMPRESSION OR RHIZOTOMY ( PARTIAL OR COMPLETE) 90