Medicare Benefits Schedule - Item 32221

Removal or revision of an artificial bowel sphincter (with or without replacement) for severe faecal incontinence in the treatment of a patient for whom conservative and other less invasive forms of treatment are contraindicated or have failed.

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $994.95 Benefit: 75% = $746.25 85% = $896.25

(See para TN.8.277 of explanatory notes to this Category)

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An artificial bowel sphincter under item 32221 is contraindicated in:

(a)    patients with inflammatory bowel disease, pelvic sepsis, pregnancy, progressive degenerative diseases or a scarred or fragile perineum; and

(b)    patients who have had an adverse reaction to radiopaque solution; and

(c)    patients who engage in receptive anal intercourse.

Related Items: 32221