Medicare Benefits Schedule - Note TN.8.263

For further guidance on terminology used for vascular anomalies, providers are encouraged to consult the classification of the International Society for the Study of Vascular Anomalies (ISSVA) 2018 at https://www.issva.org/classification.

Where a haemangioma has been medically treated and there is only a residuum present, the appropriate MBS item should relate to the size of the residuum and not the size of the original haemangioma.

Related Items: 45027 45030 45033 45035 45036 45045

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Multiple Operation Rule

Vascular anomaly, cauterisation of or injection into, if undertaken in the operating theatre of a hospital (H)

(Anaes.)

Fee: $137.15 Benefit: 75% = $102.90

(See para TN.8.263 of explanatory notes to this Category)

Multiple Operation Rule

Vascular anomaly, of skin, mucous membrane and/or subcutaneous tissue, small, excision and suture of

(Anaes.)

Fee: $154.65 Benefit: 75% = $116.00 85% = $131.50

(See para TN.8.263 of explanatory notes to this Category)

Multiple Operation Rule

Vascular anomaly, large or involving deeper tissue including facial muscle, excision and suture of 

(Anaes.) (Assist.)

Fee: $280.15 Benefit: 75% = $210.15 85% = $238.15

(See para TN.8.263 of explanatory notes to this Category)

Multiple Operation Rule

Vascular anomaly, large, deep, and involving major neurovascular structures, excision of, including dissection of muscles, nerves or major vessels (H)

(Anaes.) (Assist.)

Fee: $799.80 Benefit: 75% = $599.85

(See para TN.8.263 of explanatory notes to this Category)

Multiple Operation Rule

Vascular anomaly, of neck, deep and involving major neurovascular structures, excision of, including dissection of cranial nerves and major vessels (H)

(Anaes.) (Assist.)

Fee: $1,285.15 Benefit: 75% = $963.90

(See para TN.8.263 of explanatory notes to this Category)

Multiple Operation Rule

Vascular anomaly on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, excision of

(Anaes.)

Fee: $351.40 Benefit: 75% = $263.55 85% = $298.70

(See para TN.8.263 of explanatory notes to this Category)