Medicare Benefits Schedule - Item 45061

Search Results for Item 45061

Category 3 - THERAPEUTIC PROCEDURES

45061

45061 - Additional Information

Item Start Date:
01-Nov-2018
Description Updated:
01-Nov-2018
Schedule Fee Updated:
01-Jul-2022

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

Developmental breast abnormality, 2 stage correction of, first stage, involving surgery on both breasts with a combination of insertion of one or more tissue expanders, mastopexy or reduction mammaplasty, if:

(a) there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least:

(i) 20% in normally shaped breasts; or

(ii) 10% in tubular breasts or in breasts with abnormally high inframammary folds; and

(b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes.

Applicable only once per occasion on which the service is provided

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $1,343.95 Benefit: 75% = $1,008.00


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