Medicare Benefits Schedule - Item 46064

Free transfer of tissue with a vascularised bone component (including chimeric/composite flap), for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):
(a) anastomoses of all required vessels using microvascular techniques; and
(b) harvesting of flap (including osteotomies); and
(c) raising of tissue on a vascular pedicle; and
(d) preparation of recipient vessels; and
(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and
(f) direct repair of secondary cutaneous defect, if performed;
other than the following:
(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;
(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 applies
Conjoint surgery, conjoint specialist surgeon (H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $2,102.15 Benefit: 75% = $1,576.65

(See para TN.8.267 of explanatory notes to this Category)

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Item 45609 applies when in conjunction with a bone-containing free flap (i.e. in association with items 46060 to 46068).

Related Items: 45609 46060 46062 46064 46066 46068