Medicare Benefits Schedule - Item 45597

Search Results for Item 45597

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

45597

45597 - Additional Information

Item Start Date:
01-Apr-1992
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Nov-2023

Group
T8 - Surgical Operations
Subgroup
13 - Plastic And Reconstructive Surgery
Subheading
4 - Other Grafts And Miscellaneous Procedures

Total maxillectomy (bilateral) (H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $1,326.75 Benefit: 75% = $995.10

(See para TN.8.264 of explanatory notes to this Category)


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.8.264

Terminology for “maxilla” – (Items 45596 and 45597)

Historically, the term “maxilla” referred to one of the two identical bones that form the upper jaw with the “maxillae” meeting in the midline of the face. Currently the “maxilla” is considered a double structure or one bone (i.e. the entire upper jaw).

A “hemimaxillectomy” refers to the surgical removal of one side of the upper jaw while a “total maxillectomy” refers to the removal of all of the “maxilla” (i.e. both sides). For item 45597, the term "bilateral" will be included in recognition that some practitioners still conduct their practice using the historical terminology, however, it is expected that most providers will use the current terminology.

Related Items: 45596 45597


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