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OPHTHALMOLOGICAL EXAMINATION under general anaesthesia, not being a service associated with a service to which another item in this Group applies

Multiple Operation Rule

Fee: $119.55 Benefit: 75% = $89.70

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Implantation of a micro-bypass glaucoma surgery device or devices into the suprachoroidal space or the trabecular meshwork, if conservative therapies have failed, are likely to fail, or are contraindicated (H)

Multiple Operation Rule

Fee: $350.85 Benefit: 75% = $263.15

(See para TN.8.296 of explanatory notes to this Category)

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Complete removal of a micro‑bypass glaucoma surgery device or devices from the suprachoroidal space or the trabecular meshwork, with or without replacement, following device‑related medical complications necessitating complete removal (H)

Multiple Operation Rule

Fee: $350.85 Benefit: 75% = $263.15

Extended Medicare Safety Net Cap: $52.65

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Eye, enucleation of, without insertion of implant (H)

Multiple Operation Rule

Fee: $561.40 Benefit: 75% = $421.05

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Eye, enucleation of, with insertion of non-integrated implant, without muscle attachment (H)

Multiple Operation Rule

Fee: $710.55 Benefit: 75% = $532.95

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Eye, enucleation of, with insertion of coralline or other integrated implant, including:
(a) for a coralline implant—attachment of at least the 4 rectus muscles (with or without oblique muscles) to:

(i) the implant; or
(ii) the implant wrap; or

(b) for another integrated implant—fashioning of myoconjunctival insertion of extraocular muscles
(H)

Multiple Operation Rule

Fee: $819.00 Benefit: 75% = $614.25

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Globe, evisceration of (H)

Multiple Operation Rule

Fee: $561.40 Benefit: 75% = $421.05

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GLOBE, EVISCERATION OF, AND INSERTION OF INTRASCLERAL BALL OR CARTILAGE

Multiple Operation Rule

Fee: $710.55 Benefit: 75% = $532.95

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ANOPHTHALMIC ORBIT, INSERTION OF CARTILAGE OR ARTIFICIAL IMPLANT as a delayed procedure, or REMOVAL OF IMPLANT FROM SOCKET, or PLACEMENT OF A MOTILITY INTEGRATING PEG by drilling into an existing orbital implant

Multiple Operation Rule

Fee: $412.25 Benefit: 75% = $309.20

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• Next - Item 42521

ANOPHTHALMIC SOCKET, treatment of, by insertion of a wired-in conformer, integrated implant or dermofat graft, as a secondary procedure

Multiple Operation Rule

Fee: $1,403.65 Benefit: 75% = $1,052.75

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