Medicare Benefits Schedule - Item 46335

Synovectomy of digital extensor tendons of hand, distal to wrist, for diagnosed inflammatory arthritis, including any of the following (if performed):

(a) reconstruction of extensor retinaculum;

(b) removal of tendon nodules;

(c) tenolysis;

(d) tenoplasty;

other than a service associated with a service to which item 30023, 39331 or 39330 applies—applicable only once per occasion on which the service is performed

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $492.85 Benefit: 75% = $369.65 85% = $418.95

(See para TN.8.184, TN.8.185 of explanatory notes to this Category)

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Item 46340 is intended to be used at wrist level, while item 46335 is intended to be used distal to the wrist.

Related Items: 46335 46340

• Procedures 46335, 46340 and 46341, if performed, include tenoplasty, tenolysis, tendon nodules removal, neurolysis and carpal tunnel release.
• The item claimed should be chosen based on the tendons being treated rather than the site of the incision.

Related Items: 46335 46340 46341