Medicare Benefits Schedule - Item 35533

Search Results for Item 35533

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

35533

35533 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Nov-2018
Schedule Fee Updated:
01-Nov-2023

Group
T8 - Surgical Operations
Subgroup
4 - Gynaecological

Vulvoplasty or labioplasty, for repair of:

(a) female genital mutilation; or

(b) an anomaly associated with a major congenital anomaly of the uro-gynaecological tract

other than a service associated with a service to which item 35536, 37836, 37050, 37842, 37851 or 43882 applies

Multiple Operation Rule

(Anaes.)

Fee: $385.05 Benefit: 75% = $288.80

(See para TN.8.123 of explanatory notes to this Category)


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.8.123

Vulvoplasty and Labioplasty - (Items 35533 and 35534)

Item 35533 is intended to cover the surgical repair of female genital mutilation or a major congenital anomaly of the uro-gynaecological tract which is not covered by existing MBS items. For example, this item would apply where a patient who has previously received treatment for cloacal extrophy, bladder exstrophy or congenital adrenal hyperplasia requires additional or follow-up treatment.

Item 35534 is intended to cover services for a structural abnormality causing significant functional impairment and is restricted to patients aged 18 years and over.

A detailed clinical history outlining the structural abnormality and the medical need for surgery of the vulva and/or labia must be included in patient notes, as this may be subject to audit.

Medicare benefits are not payable for non-therapeutic cosmetic services. 

Related Items: 35533 35534


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