Medicare Benefits Schedule - Note TN.8.118

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.118

Paediatric Patients - (Items 50450 to 50658)

For the purpose of Medicare benefits a paediatric patient is considered to be a patient under the age of eighteen years, except in those instances where an item provides further specifications (i.e. fracture items for paediatric patients which state "with open growth plates").

Related Items: 50450 50451 50455 50456 50460 50461 50465 50466 50470 50471 50475 50476 50500 50504 50508 50512 50516 50520 50524 50528 50532 50536 50540 50544 50548 50552 50556 50560 50564 50568 50572 50576 50580 50584 50588 50600 50604 50608 50612 50616 50620 50624 50628 50632 50636 50640 50644 50650 50654 50658


Related Items

Category 3 - THERAPEUTIC PROCEDURES

50500 Fee

50500 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

RADIUS OR ULNA, distal end of, with open growth plate, treatment of fracture of, by closed reduction

(Anaes.)

Fee: $281.10 Benefit: 75% = $210.85 85% = $238.95

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50504 Fee

50504 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

RADIUS OR ULNA, distal end of, with open growth plate, treatment of fracture of, by open reduction

(Anaes.) (Assist.)

Fee: $374.95 Benefit: 75% = $281.25 85% = $318.75

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50508 Fee

50508 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

RADIUS, distal end of, with open growth plate, treatment of Colles', Smith's or Barton's fracture, by closed reduction

(Anaes.)

Fee: $401.55 Benefit: 75% = $301.20 85% = $341.35

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50512 Fee

50512 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

RADIUS, distal end of, with open growth plate, treatment of Colles', Smith's or Barton's fracture of, by open reduction

(Anaes.) (Assist.)

Fee: $535.75 Benefit: 75% = $401.85

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50516 Fee

50516 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

RADIUS OR ULNA, shaft of, with open growth plate, treatment of fracture of, by closed reduction undertaken in the operating theatre of a hospital

(Anaes.)

Fee: $361.55 Benefit: 75% = $271.20

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50520 Fee

50520 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

RADIUS OR ULNA, shaft of, with open growth plate, treatment of fracture of, by open reduction

(Anaes.) (Assist.)

Fee: $482.00 Benefit: 75% = $361.50

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50524 Fee

50524 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

RADIUS OR ULNA, shaft of, with open growth plate, treatment of fracture of, in conjunction with dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by closed reduction undertaken in the operating theatre of a hospital

(Anaes.) (Assist.)

Fee: $415.05 Benefit: 75% = $311.30

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50528 Fee

50528 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

RADIUS OR ULNA, shaft of, with open growth plate, treatment of fracture of, in conjunction with dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by reduction with or without internal fixation by open or percutaneous means

(Anaes.) (Assist.)

Fee: $669.55 Benefit: 75% = $502.20

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50532 Fee

50532 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

RADIUS AND ULNA, shafts of, with open growth plates, treatment of fracture of, by closed reduction undertaken in the operating theatre of a hospital

(Anaes.)

Fee: $582.55 Benefit: 75% = $436.95

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50536 Fee

50536 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

RADIUS AND ULNA, shafts of, with open growth plates, treatment of fracture of, by open reduction

(Anaes.) (Assist.)

Fee: $776.65 Benefit: 75% = $582.50

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50540 Fee

50540 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

OLECRANON, with open growth plate, treatment of fracture of, by open reduction

(Anaes.) (Assist.)

Fee: $535.75 Benefit: 75% = $401.85

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50544 Fee

50544 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

RADIUS, with open growth plate, treatment of fracture of head or neck of, by closed reduction of

(Anaes.)

Fee: $267.80 Benefit: 75% = $200.85 85% = $227.65

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50548 Fee

50548 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

RADIUS, with open growth plate, treatment of fracture of head or neck of, by reduction with or without internal fixation by open or percutaneous means

(Anaes.) (Assist.)

Fee: $535.75 Benefit: 75% = $401.85

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50552 Fee

50552 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

HUMERUS, proximal, with open growth plate, treatment of fracture of, by closed reduction, undertaken in the operating theatre, neonatal unit or nursery of a hospital

(Anaes.)

Fee: $462.05 Benefit: 75% = $346.55

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50556 Fee

50556 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

HUMERUS, proximal, with open growth plate, treatment of fracture of, by open reduction

(Anaes.) (Assist.)

Fee: $615.90 Benefit: 75% = $461.95

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50560 Fee

50560 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

HUMERUS, shaft of, with open growth plate, treatment of fracture of, by closed reduction, undertaken in the operating theatre, neonatal unit or nursery of a hospital

(Anaes.)

Fee: $482.00 Benefit: 75% = $361.50

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50564 Fee

50564 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

HUMERUS, shaft of, with open growth plate, treatment of fracture of, by internal or external fixation

(Anaes.) (Assist.)

Fee: $642.75 Benefit: 75% = $482.10

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50568 Fee

50568 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

HUMERUS, with open growth plate, supracondylar or condylar, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital

(Anaes.)

Fee: $562.45 Benefit: 75% = $421.85

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50572 Fee

50572 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

HUMERUS, with open growth plate, supracondylar or condylar, treatment of fracture of, by reduction with or without internal fixation by open or percutaneous means, undertaken in the operating theatre of a hospital

(Anaes.) (Assist.)

Fee: $749.90 Benefit: 75% = $562.45

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50576 Fee

50576 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

FEMUR, with open growth plate, treatment of fracture of, by closed reduction or traction

(Anaes.) (Assist.)

Fee: $615.90 Benefit: 75% = $461.95 85% = $523.55

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50580 Fee

50580 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

TIBIA, with open growth plate, plateau or condyles, medial or lateral, treatment of fracture of, by reduction with or without internal fixation by open or percutaneous means

(Anaes.) (Assist.)

Fee: $642.75 Benefit: 75% = $482.10

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50584 Fee

50584 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

TIBIA, distal, with open growth plate, treatment of fracture of, by reduction with or without internal fixation by open or percutaneous means

(Anaes.) (Assist.)

Fee: $615.90 Benefit: 75% = $461.95

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50588 Fee

50588 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

TIBIA AND FIBULA, with open growth plates, treatment of fracture of, by internal fixation

(Anaes.) (Assist.)

Fee: $803.35 Benefit: 75% = $602.55

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50600 Fee

50600 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

SCOLIOSIS OR KYPHOSIS, in a growing child, manipulation of deformity and application of a localiser cast, under general anaesthesia, in a hospital

(Anaes.) (Assist.)

Fee: $441.65 Benefit: 75% = $331.25

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50604 Fee

50604 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

SCOLIOSIS or KYPHOSIS, in a child or adolescent, spinal fusion for (without instrumentation)

(Anaes.) (Assist.)

Fee: $1,874.55 Benefit: 75% = $1,405.95

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50608 Fee

50608 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2018
Schedule Fee Start Date:
01-Jul-2019

SCOLIOSIS OR KYPHOSIS, in a child or adolescent, treatment by segmental instrumentation and fusion of the spine, not being a service to which item 51011 to 51171 applies

(Anaes.) (Assist.)

Fee: $3,481.80 Benefit: 75% = $2,611.35

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50612 Fee

50612 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2018
Schedule Fee Start Date:
01-Jul-2019

SCOLIOSIS OR KYPHOSIS, in a child or adolescent, with spinal deformity, treatment by segmental instrumentation, utilising separate anterior and posterior approaches, not being a service to which item 51011 to 51171 applies

(Anaes.) (Assist.)

Fee: $4,952.50 Benefit: 75% = $3,714.40

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50616 Fee

50616 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

SCOLIOSIS, in a child or adolescent, re-exploration for adjustment or removal of segmental instrumentation used for correction of spine deformity

(Anaes.) (Assist.)

Fee: $629.25 Benefit: 75% = $471.95

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50620 Fee

50620 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2018
Schedule Fee Start Date:
01-Jul-2019

SCOLIOSIS, in a child or adolescent, revision of failed scoliosis surgery, involving more than 1 of osteotomy, fusion, removal of instrumentation or instrumentation, not being a service to which item 51011 to 51171 applies

(Anaes.) (Assist.)

Fee: $3,481.80 Benefit: 75% = $2,611.35

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50624 Fee

50624 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

SCOLIOSIS, in a child or adolescent, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar) - not more than 4 levels

(Anaes.) (Assist.)

Fee: $3,481.80 Benefit: 75% = $2,611.35

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50628 Fee

50628 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

SCOLIOSIS, in a child or adolescent, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar) - more than 4 levels

(Anaes.) (Assist.)

Fee: $4,300.95 Benefit: 75% = $3,225.75

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50632 Fee

50632 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2018
Schedule Fee Start Date:
01-Jul-2019

SCOLIOSIS OR KYPHOSIS, in a child or adolescent, requiring segmental instrumentation and fusion of the spine down to and including the pelvis or sacrum, not being a service to which item 51011 to 51171 applies

(Anaes.) (Assist.)

Fee: $3,615.60 Benefit: 75% = $2,711.70

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50636 Fee

50636 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2018
Schedule Fee Start Date:
01-Jul-2019

SCOLIOSIS, in a child or adolescent, requiring anterior decompression of the spinal cord with vertebral resection and instrumentation in the presence of spinal cord involvement, not being a service to which item 51011 to 51171 applies

(Anaes.) (Assist.)

Fee: $4,017.35 Benefit: 75% = $3,013.05

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50640 Fee

50640 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2018
Schedule Fee Start Date:
01-Jul-2019

SCOLIOSIS, in a child or adolescent, congenital, resection and fusion of abnormal vertebra via an anterior or posterior approach, not being a service to which item 51011 to 51171 applies

(Anaes.) (Assist.)

Fee: $2,220.75 Benefit: 75% = $1,665.60

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50644 Fee

50644 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

SPINE, bone graft to, for a child or adolescent, associated with surgery for correction of scoliosis or kyphosis or both

(Anaes.) (Assist.)

Fee: $2,142.70 Benefit: 75% = $1,607.05

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50450 Fee

50450 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-May-2009
Schedule Fee Start Date:
01-Jul-2019

UNILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with hemiplegic cerebral palsy comprising three or more of the following:

(a)    Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.

(b)    Correction of muscle imbalance by tendon transfer/transfers.

(c)    Correction of femoral torsion by rotational osteotomy of the femur.

(d)    Correction of tibial torsion by rotational osteotomy of the tibia.

(e)    Correction of joint instability by varus derotation osteotomy of the femur, subtalar arthrodesis, with synovectomy if performed, or os calcis lengthening.

Conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare

(Anaes.) (Assist.)

Fee: $1,246.55 Benefit: 75% = $934.95

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50451 Fee

50451 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-May-2009
Schedule Fee Start Date:
01-Jul-2019

UNILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with hemiplegic cerebral palsy comprising three or more of the following:

(a)    Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.

(b)    Correction of muscle imbalance by tendon transfer/transfers.

(c)    Correction of femoral torsion by rotational osteotomy of the femur.

(d)    Correction of tibial torsion by rotational osteotomy of the tibia.

(e)    Correction of joint instability by varus derotation osteotomy of the femur, subtalar arthrodesis, with synovectomy if performed, or os calcis lengthening.

Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare

(Anaes.) (Assist.)

Fee: $1,246.55 Benefit: 75% = $934.95

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50455 Fee

50455 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy that comprises:

(`)    Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.

(`)    Correction of muscle imbalance by tendon transfer/transfers.

Conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare

(Anaes.) (Assist.)

Fee: $1,411.65 Benefit: 75% = $1,058.75

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50456 Fee

50456 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy that comprises:

(a)    Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.

(b)    Correction of muscle imbalance by tendon transfer/transfers.

Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare

(Anaes.) (Assist.)

Fee: $1,411.65 Benefit: 75% = $1,058.75

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50460 Fee

50460 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy that comprises bilateral soft tissue surgery and bilateral femoral osteotomies.

(`)    Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.

(`)    Correction of muscle imbalance by tendon transfer/transfers.

(`)    Correction of torsional abnormality of the femur by rotational osteotomy and internal fixation.

Conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare

(Anaes.) (Assist.)

Fee: $2,107.65 Benefit: 75% = $1,580.75

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50461 Fee

50461 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy that comprises bilateral soft tissue surgery and bilateral femoral osteotomies.

(a)    Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.

(b)    Correction of muscle imbalance by tendon transfer/transfers.

(c)    Correction of torsional abnormality of the femur by rotational osteotomy and internal fixation.

Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare

(Anaes.) (Assist.)

Fee: $2,107.65 Benefit: 75% = $1,580.75

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50465 Fee

50465 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy that comprises bilateral soft tissue surgery, bilateral femoral osteotomies and bilateral tibial osteotomies.

(`)    Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.

(`)    Correction of muscle imbalance by tendon transfer/transfers.

(`)    Correction of abnormal torsion of the femur by rotational osteotomy with internal fixation.

(`)    Correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation.

Conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare

(Anaes.) (Assist.)

Fee: $2,968.55 Benefit: 75% = $2,226.45

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50466 Fee

50466 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy that comprises bilateral soft tissue surgery, bilateral femoral osteotomies and bilateral tibial osteotomies.

(a)    Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.

(b)    Correction of muscle imbalance by tendon transfer/transfers.

(c)    Correction of abnormal torsion of the femur by rotational osteotomy with internal fixation.

(d)    Correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation.

Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare

(Anaes.) (Assist.)

Fee: $2,968.55 Benefit: 75% = $2,226.45

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50470 Fee

50470 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with cerebral palsy that comprises bilateral soft tissue surgery, bilateral femoral osteotomies, bilateral tibial osteotomies and bilateral foot stabilisation.

(`)    Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.

(`)    Correction of muscle imbalance by tendon transfer/transfers.

(`)    Correction of abnormal torsion of the femur by rotational osteotomy with internal fixation.

(`)    Correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation.

(`)    Correction of bilateral pes valgus by os calcis lengthening or subtalar fusion.

Conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare

(Anaes.) (Assist.)

Fee: $3,764.85 Benefit: 75% = $2,823.65

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50471 Fee

50471 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with cerebral palsy that comprises bilateral soft tissue surgery, bilateral femoral osteotomies, bilateral tibial osteotomies and bilateral foot stabilisation.

(a)    Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.

(b)    Correction of muscle imbalance by tendon transfer/transfers.

(c)    Correction of abnormal torsion of the femur by rotational osteotomy with internal fixation.

(d)    Correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation.

(e)    Correction of bilateral pes valgus by os calcis lengthening or subtalar fusion.

Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare

(Anaes.) (Assist.)

Fee: $3,764.85 Benefit: 75% = $2,823.65

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50475 Fee

50475 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy for the correction of crouch gait including:

(`)    Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.

(`)    Correction of muscle imbalance by tendon transfer/transfers.

(`)    Correction of flexion deformity at the knee by extension osteotomy of the distal femur including internal fixation.

(`)    Correction of patella alta and quadriceps insufficiency by patella tendon shortening/reconstruction.

(`)    Correction of tibial torsion by rotational osteotomy of the tibia with internal fixation.

(`)    Correction of foot instability by os calcis lengthening or subtalar fusion.

Conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare

(Anaes.) (Assist.)

Fee: $4,344.25 Benefit: 75% = $3,258.20

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50476 Fee

50476 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy for the correction of crouch gait including:

(a)    Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.

(b)    Correction of muscle imbalance by tendon transfer/transfers.

(c)    Correction of flexion deformity at the knee by extension osteotomy of the distal femur including internal fixation.

(d)    Correction of patella alta and quadriceps insufficiency by patella tendon shortening/reconstruction.

(e)    Correction of tibial torsion by rotational osteotomy of the tibia with internal fixation.

(f)    Correction of foot instability by os calcis lengthening or subtalar fusion.

Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare

(Anaes.) (Assist.)

Fee: $4,344.25 Benefit: 75% = $3,258.20

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50650 Fee

50650 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

HIP DYSPLASIA or DISLOCATION, in a child, examination, manipulation and arthrography of the hip under anaesthesia

(Anaes.)

Fee: $421.40 Benefit: 75% = $316.05 85% = $358.20

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50654 Fee

50654 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

HIP DYSPLASIA or DISLOCATION, in a child, application or reapplication of a hip spica, including examination of the hip

(Anaes.) (Assist.)

Fee: $504.60 Benefit: 75% = $378.45

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50658 Fee

50658 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Jul-2019

HIP DYSPLASIA or DISLOCATION, in a child, examination and manipulation of the hip under anaesthesia

(Anaes.)

Fee: $200.90 Benefit: 75% = $150.70 85% = $170.80

(See para TN.8.118 of explanatory notes to this Category)


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