Medicare Benefits Schedule - Note TN.8.14

Procedures on the abdominal viscera may be performed by laparotomy or laparoscopically. Both items 30622 and 30722 cover several operations on abdominal viscera.  Where more than one of the procedures referred to in these items are performed during the one operation, each procedure may be itemised according to the multiple operation formula.

Related Items: 30622 30722

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Multiple Operation Rule

Caecostomy, enterostomy, colostomy, enterotomy, colotomy, cholecystostomy, gastrostomy, gastrotomy, reduction of intussusception, removal of Meckel’s diverticulum, suture of perforated peptic ulcer, simple repair of ruptured viscus, reduction of volvulus, pyloroplasty or drainage of pancreas, on a patient under 10 years of age

(Anaes.) (Assist.)

Fee: $745.95 Benefit: 75% = $559.50

(See para TN.8.14 of explanatory notes to this Category)

Multiple Operation Rule

Laparotomy or laparoscopy, on a patient 10 years of age or over, including any of the following procedures (if performed, and including division of one or more adhesions, but only if the time taken to divide the adhesions is 45 minutes or less):
(a) colostomy;
(b) colotomy;
(c) cholecystostomy;
(d) enterostomy;
(e) enterotomy;
(f) gastrostomy;
(g) gastrotomy;
(h) caecostomy;
(i) gastric fixation by cardiopexy;
(j) reduction of intussusception;
(k) simple repair of ruptured viscus (including perforated peptic ulcer);
(l) reduction of volvulus;
(m) drainage of pancreas

(Anaes.) (Assist.)

Fee: $573.80 Benefit: 75% = $430.35

(See para TN.8.14 of explanatory notes to this Category)