Medicare Benefits Schedule - Item 45025

Search Results for Item 45025

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

45025

45025 - Additional Information

Item Start Date:
01-Nov-1995
Description Updated:
01-Nov-2007
Schedule Fee Updated:
01-Nov-2023

Group
T8 - Surgical Operations
Subgroup
13 - Plastic And Reconstructive Surgery
Subheading
1 - General

CARBON DIOXIDE LASER OR ERBIUM LASER (not including fractional laser therapy) resurfacing of the face or neck for severely disfiguring scarring resulting from trauma, burns or acne - limited to 1 aesthetic area

Multiple Operation Rule

(Anaes.)

Fee: $195.20 Benefit: 75% = $146.40 85% = $165.95

(See para TN.8.91 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $156.20


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.8.91

Abrasive Therapy/Resurfacing - (Items 45021 to 45026)

For the purpose of items 45025 and 45026, one aesthetic area is any of the following of the whole face (considered to be divided into six segments): forehead; right cheek; left cheek; nose; upper lip; and chin.

Item 45021 covers abrasive therapy only. For the purpose of this item, abrasive therapy requires the removal of the epidermis and into the deeper papillary dermis. Services performed using a laser are not eligible for benefits under this item.

Items 45025 and 45026 do not cover the use of fractional laser therapy.

 

Related Items: 45021 45025 45026


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