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• Previous - Note TN.8.3
• Next - Note TN.8.5

Related Items: 31513 31514

• Previous - Note TN.8.264
• Next - Note TN.8.266

Breast, malignant tumour, complete local excision of, with simultaneous ipsilateral pedicled breast reduction, including repositioning of the nipple, other than a service associated with a service to which:
(a) item 45523 or 45558 applies; and
(b) item 31512, 31513, 45520, 45522 or 45556 applies on the same side
(H)

Multiple Operation Rule

Fee: $1,348.90 Benefit: 75% = $1,011.70

(See para TN.8.265 of explanatory notes to this Category)

• Previous - Item 31513
• Next - Item 31515

Developmental breast abnormality, single stage correction of, if:

(a) the correction involves either:

(i) bilateral mastopexy for symmetrical tubular breasts; or

(ii) surgery on both breasts with a combination of insertion of one or more implants (which must have at least a 10% volume difference), mastopexy or reduction mammaplasty, if there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least 20% in normally shaped breasts, or 10% in tubular breasts or in breasts with abnormally high inframammary folds; and

(b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes

Applicable only once per occasion on which the service is provided

Multiple Operation Rule

Fee: $1,399.30 Benefit: 75% = $1,049.50

• Previous - Item 45054
• Next - Item 45061

Developmental breast abnormality, 2 stage correction of, first stage, involving surgery on both breasts with a combination of insertion of one or more tissue expanders, mastopexy or reduction mammaplasty, if:

(a) there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least:

(i) 20% in normally shaped breasts; or

(ii) 10% in tubular breasts or in breasts with abnormally high inframammary folds; and

(b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes.

Applicable only once per occasion on which the service is provided

Multiple Operation Rule

Fee: $1,399.30 Benefit: 75% = $1,049.50

• Previous - Item 45060
• Next - Item 45062

Developmental breast abnormality, 2 stage correction of, second stage, involving surgery on both breasts with a combination of exchange of one or more tissue expanders for one or more implants (which must have at least a 10% volume difference), mastopexy or reduction mammaplasty, if:

(a) there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least:

(i) 20% in normally shaped breasts; or

(ii) 10% in tubular breasts or in breasts with abnormally high inframammary folds; and

(b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes.

Applicable only once per occasion on which the service is provided

Multiple Operation Rule

Fee: $1,012.60 Benefit: 75% = $759.45

• Previous - Item 45061
• Next - Item 45200

Reduction mammaplasty (unilateral) with surgical repositioning of nipple, in the context of breast cancer or developmental abnormality of the breast, other than a service associated with a service to which item 31512, 31513 or 31514 applies on the same side (H)

Multiple Operation Rule

Fee: $991.10 Benefit: 75% = $743.35

• Previous - Item 45518
• Next - Item 45522