Medicare Benefits Schedule - Item 49374

Search Results for Item 49374

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

49374

49374 - Additional Information

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

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

Revision arthroplasty of hip, with exchange of head and acetabular shell or cup, including minor bone grafting (if performed) (H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $1,885.65 Benefit: 75% = $1,414.25

(See para TN.8.191 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


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