Medicare Benefits Schedule - Note TN.8.184

Item 46340 is intended to be used at wrist level, while item 46335 is intended to be used distal to the wrist.

Related Items: 46335 46340

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Multiple Operation Rule

Synovectomy of digital extensor tendons of hand, distal to wrist, for diagnosed inflammatory arthritis, including any of the following (if performed):

(a) reconstruction of extensor retinaculum;

(b) removal of tendon nodules;

(c) tenolysis;

(d) tenoplasty;

other than a service associated with a service to which item 30023, 39331 or 39330 applies—applicable only once per occasion on which the service is performed

(Anaes.) (Assist.)

Fee: $492.85 Benefit: 75% = $369.65 85% = $418.95

(See para TN.8.184, TN.8.185 of explanatory notes to this Category)

Multiple Operation Rule

Synovectomy of wrist flexor or extensor tendons of hand or wrist, for diagnosed inflammatory tenosynovitis, including any of the following (if performed):

(a) reconstruction of flexor or extensor retinaculum;

(b) removal of tendon nodules;

(c) tenolysis;

(d) tenoplasty;

other than a service associated with a service to which item 30023, 39331 or 39330 applies—one or more compartments (H)

(Anaes.) (Assist.)

Fee: $418.95 Benefit: 75% = $314.25

(See para TN.8.184, TN.8.185 of explanatory notes to this Category)