Medicare Benefits Schedule - Item 49837

Search Results for Item 49837

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

49837

49837 - Additional Information

Item Start Date:
01-May-2000
Description Updated:
01-Nov-2021
Schedule Fee Updated:
01-Jul-2021

Group
T8 - Surgical Operations
Subgroup
15 - Orthopaedic
Subheading
14 - Foot

Unilateral correction of hallux valgus or varus deformity of the foot, by osteotomy of first metatarsal, with internal fixation, including any of the following (if performed):

(a) exostectomy;

(b) removal of bursae;

(c) synovectomy;

(d) capsule repair;

(e) capsule or tendon release or transfer

(H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $673.45 Benefit: 75% = $505.10

(See para TN.8.194, TN.8.196, TN.8.201, TN.8.223 of explanatory notes to this Category)


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.8.194

Procedure for the correction of hallux valgus deformity (Items 49821 - 49838)

  • Correction of a hallux valgus deformity involves realignment of the joint using soft tissue stabilization and osteotomy of the metatarsal as needed. 
  • The following items are not to be used on the same joint: arthroscopy (49730 or 49732), bone removal or osteotomy (48430, 48400 or 48403), joint interposition (49821, 49824 or 49783-49788), arthrodesis procedure, ganglion excision, neurolysis (39330), wound debridement (30023) or joint stabilization unless the procedure is performed at a site separate to the 1st metatarsal.

Related Items: 49821 49824 49827 49830 49833 49836 49837 49838

Category 3 - THERAPEUTIC PROCEDURES

TN.8.196

Procedure for osteotomy (Items 48400 - 48421 and 48430)

  • 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

Category 3 - THERAPEUTIC PROCEDURES

TN.8.201

Procedures for excisional and interpositional arthroplasty

  • Items for excisional or interposition arthroplasty procedures are indicated for use when items 49734, 48430, 49860, or 49812 do not represent the complete procedure performed.
  • Not to be used on the same joint undergoing arthroscopy (49730 or 49732), bunion correction (49827, 49830, 49833, 49836, 49837 or 49838) or an arthrodesis procedure for stabilisation.

Related Items: 48430 49715 49716 49717 49730 49732 49734 49812 49821 49827 49830 49833 49836 49837 49838 49839 49857 49860

Category 3 - THERAPEUTIC PROCEDURES

TN.8.223

Procedures for stabalisation (Items 49734, 48400, 48403, 49809 and 49812)

  • Items for stabilisation of a joint procedure are indicated for use when items 49734, 48400, 48403, 49809 or 49812 do not represent the complete procedure performed.
  • Not to be used on the same joint undergoing arthroscopy (49730 or 49732), bunion correction (49827, 49830, 49833, 49836, 49837 or 49838) or an arthrodesis procedure for stabilisation.

Related Items: 48400 48403 49706 49709 49734 49809 49812 49818 49827 49830 49833 49836 49837 49838 49845 49854


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