Medicare Benefits Schedule - Item 35754

Search Results for Item 35754

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

35754

35754 - Additional Information

Item Start Date:
01-May-2001
Description Updated:
01-Aug-2022
Schedule Fee Updated:
01-Nov-2023

Group
T8 - Surgical Operations
Subgroup
4 - Gynaecological

Hysterectomy, complex laparoscopic, by any approach, that concurrently requires either extensive retroperitoneal dissection or complex side wall dissection, or both, with any of the following procedures (if performed):
(a) endometrial sampling;
(b) unilateral or bilateral salpingectomy, oophorectomy or salpingo-oophorectomy;
(c) excision of ovarian cyst;
(d) any other associated laparoscopy;
not being a service associated with a service to which item 35595 or 35641 applies (H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $1,845.25 Benefit: 75% = $1,383.95

(See para TN.8.229, TN.8.231 of explanatory notes to this Category)


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.8.229

Appropriate Documentation

Appropriate documentation, ideally with photographic and/or histological evidence, is to be collected and retained to demonstrate the complexity of the procedure performed. Where photographic evidence is not retained, the reasons for this should be clearly documented.

Related Items: 35631 35632 35637 35641 35658 35750 35751 35753 35754 35756

Category 3 - THERAPEUTIC PROCEDURES

TN.8.231

Hysterectomy (Items 35750, 35751, 35753, 35754, 35756)

Procedure may be undertaken using laparoscopy with any number of ports or by any approach as clinically indicated.

A laparoscopically assisted vaginal hysterectomy is defined as the introduction of the laparoscope to assess the pelvis and commence the procedure taking the round ligaments, adnexal attachments as indicated and to the level of the uterine arteries with the uterine arteries and uterosacral pedicles secured vaginally. 

A total laparoscopic hysterectomy is defined as the introduction of the laparoscope to assess the pelvis and complete the procedure laparoscopically including securing the uterine arteries and uterosacral pedicles. 

The complex hysterectomy items 35753 and 35754 are intended to cover procedures with increased complexity. 35753 is to be used for the excision of moderate endometriosis. 35754 is to be used for the excision of extensive endometriosis and when side wall dissection is required.

Related Items: 35750 35751 35753 35754 35756


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