Medicare Benefits Schedule - Item 49318

Search Results for Item 49318

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

49318

49318 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Nov-2023

Group
T8 - Surgical Operations
Subgroup
15 - Orthopaedic
Subheading
11 - Hip

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)

Multiple Operation Rule

(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:

  1. Minor bone grafting is intended to cover Paprosky 1 and 2A defects (i.e. minor acetabular derangement / bone loss). 
  2. 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.

Related Items: 49318 49321


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