Medicare Benefits Schedule - Item 30023

Search Results for Item 30023

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

30023

30023 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Nov-2005
Schedule Fee Updated:
01-Nov-2023

Group
T8 - Surgical Operations
Subgroup
1 - General

WOUND OF SOFT TISSUE, traumatic, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field nerve block, including suturing of that wound when performed

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $358.90 Benefit: 75% = $269.20 85% = $305.10

(See para TN.8.6, TN.8.200, TN.8.283 of explanatory notes to this Category)


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.8.6

Repair of Wound - (Items 30023 to 30049)

The repair of wound referred to in these items must be undertaken by suture, tissue adhesive resin (such as methyl methacrylate) or clips. These items do not cover repair of wound at time of surgery. 

Item 30023 covers debridement of traumatic, "deep or extensively contaminated" wound. Benefits are not payable under this item for debridement which would be expected to be encountered as part of an operative approach to the treatment of fractures. 

For the purpose of items 30026 to 30049 the term 'superficial' means affecting skin and subcutaneous tissue including fat and the term 'deeper tissue' means all tissues deep to but not including subcutaneous tissue such as fascia and muscle.

 

Related Items: 30023 30026 30029 30032 30035 30038 30042 30045 30049

Category 3 - THERAPEUTIC PROCEDURES

TN.8.200

Procedure for arthrodesis in the foot and ankle

  • An arthrodesis consists of joint preparation, removal of surrounding osteophytes, intraarticular joint correction and fixation by any means.
  • Bone procedure items (48430, 48400, 48403, 48406, 48409, 48419, or 48420) are not to be claimed unless performed at a separate site to the arthrodesis.
  • Neurolysis (39330), wound debridement (30023) and ganglion excision (30107) items are not to be claimed unless performed at a site separate to the arthrodesis site.

Related Items: 30023 39330 48400 48403 48406 48409 48419 48420 48430 49712 49740 49742 49744 49760 49776 49777 49778 49779 49780 49781 49789 49790 49791 49792 49793 49794 49795 49796 49797 49798 49814 49815 49845 49851 50118

Category 3 - THERAPEUTIC PROCEDURES

TN.8.283

Procedures involving wound debridement (item 30023) on the same occasion as some orthopaedic or neurosurgical procedures

Items 39303, 39309-39315, 39329-39345, 46335, 46339-46341, 46348-46360, 46364, 46387, 46390-46395, 46408, 46414, 46423, 46434, 46450, 46453, 46522, 46525, 49717, 49740, 49744, 49771-49776, 49782, 49866, 49881-49890 all include the phrase "other than a service associated with a service to which item 30023 applies that is performed at the same site".

This indicates that an additional benefit is not payable for debridement of a soft tissue wound under item 30023 where it is performed at the same site on the same occasion.

These procedures are considered to be performed at the same site as the wound debridement (item 30023) where:

  • Any incision for the orthopaedic or neurosurgical procedures involves the wound that is debrided.
  • Debridement of the wound is required as part of the surgical approach and is considered an inherent part of the orthopaedic or neurosurgical procedure.

Related Items: 30023 39303 39309 39312 39315 39329 39330 39331 39332 39336 39339 39342 39345 46335 46339 46340 46341 46348 46351 46354 46357 46360 46364 46387 46390 46393 46394 46395 46408 46414 46423 46434 46450 46453 46522 46525 49717 49740 49744 49771 49773 49774 49775 49776 49782 49866 49881 49884 49887 49890


Legend

  • Assist - Addition/Deletion of (Assist.)
  • Amend - Amended Description
  • Anaes - Anaesthetic Values Amended
  • Emsn - EMSN Change
  • Fee - Fee Amended
  • Renum - Item Number Change (renumbered)
  • New - New Item
  • NewMin - New Item (previous Ministerial Determination)
  • Qfe - QFE Change