View Associated Notes
Category 3 - THERAPEUTIC PROCEDURES
49318 - Additional Information
Total arthroplasty of hip, including minor bone grafting (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H)
(Anaes.) (Assist.)
Fee: $1,450.55 Benefit: 75% = $1,087.95
(See para TN.8.191, TN.8.286 of explanatory notes to this Category)
Associated Notes
Category 3 - THERAPEUTIC PROCEDURES
TN.8.191
Procedure for hip arthroplasty (Items 49318, 49319, 49372 - 49398)
For the purpose of acetabular bone grafting:
- Minor bone grafting is intended to cover Paprosky 1 and 2A defects (i.e. minor acetabular derangement / bone loss).
- Major bone grafting is intended to cover Paprosky 2B, 2C, 3A and 3B defects (i.e. major acetabular derangement / bone loss). Outside of the acetabulum, a major bone graft is considered to be structural in nature, such as a substantive impaction femoral graft, a strut allograft, or equivalent.
Related Items: 49318 49319 49372 49374 49376 49378 49380 49382 49384 49386 49388 49390 49392 49394 49396 49398
Category 3 - THERAPEUTIC PROCEDURES
TN.8.286
Primary hip arthroplasty (items 49318, 49321)
A 'complex hip arthroplasty' procedure is one that requires additional pre-operative planning or interoperative management that extends beyond a traditional hip arthroplasty, secondary to underlying abnormalities with bone or soft tissue or systemic health issues. This may include, but is not limited to:
- patients with previous hip surgery or fractures;
- femoral head dysplasia or deformities;
- known skeletal dysplasia or neuromuscular conditions; or
- the presence of infection.
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