Medicare Benefits Schedule - Item 48421

Osteotomy of proximal tibia, to alter lower limb alignment or rotation (or both), with internal or external fixation (or both) (H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $1,011.65 Benefit: 75% = $758.75

(See para TN.8.168, TN.8.196 of explanatory notes to this Category)

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 An osteotomy is a planned bone cut that is intended to realign the bone or alter the length of a bone.

Related Items: 47501 48400 48403 48406 48409 48412 48415 48421 48422 48423 48424 48426 48427

• Removal of prominent bone or osteophytes can be billed as an isolated procedure under 48430 or when through a separate incision to other procedures. 
• When an osteotomy is performed through the bone to correct a deformity then the appropriate number is chosen from 48400, 48403, 48406, 48409, 48418 or 48421. 
• Not to be used when performing joint arthroscopy (49703, 49730 or 49732), bunion correction (49827, 49830, 49833, 49836, 49837 or 49838), neurolysis (39330), wound debridement (30023) or an arthrodesis procedure unless performed at a site separate to the excluded items.

Related Items: 39330 48400 48403 48406 48409 48421 48430 49703 49827 49833 49836 49837 49838