Medicare Benefits Schedule - Note TN.8.202

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.202

Procedure for arthroscopy in the foot and ankle (Items 49703, 49730 and 49732)

  • Arthroscopy of joint includes associated intraarticular pathology treatment, such as treatment of cartilage, loose bodies, synovectomy, scar removal, and excision of exostosis by arthroscopic means.
  • In cases of inflammatory synovitis or osteochondral defect >1.5cm2, it is appropriate to use item 50312.

Related Items: 49703 49730 49732 50312


Related Items

Category 3 - THERAPEUTIC PROCEDURES

50312

50312 - Additional Information

Item Start Date:
01-Jul-1995
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Nov-2023

Synovectomy or debridement, and microfracture, of ankle joint for osteochondral large defect greater than 1.5cm2, by arthroscopic or open means, including any of the following (if performed):

(a) capsulotomy;

(b) debridement or release of ligament;

(c) debridement or release of tendon;

other than a service associated with a service to which any of the following apply:

(d) item 49703;

(e) another item in this Schedule if the service described in the other item is for the purpose of performing an arthroscopic procedure of the ankle

(H)

(Anaes.) (Assist.)

Fee: $827.95 Benefit: 75% = $621.00

(See para TN.8.202 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49703

49703 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Nov-2023

Surgery of ankle joint, by arthroscopic means, including any of the following (if performed):

(a) cartilage treatment;

(b) removal of loose bodies;

(c) synovectomy;

(d) excision of joint osteophytes;

other than a service associated with a service to which another item in this Group applies if the service described in the other item is for the purpose of performing a procedure on the ankle by arthroscopic means (H)

(Anaes.) (Assist.)

Fee: $673.60 Benefit: 75% = $505.20

(See para TN.8.196, TN.8.199, TN.8.202 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49730

49730 - Additional Information

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

Surgery of joint of hindfoot (other than ankle) or first metatarsophalangeal joint, by arthroscopic means, including any of the following (if performed):

(a) cartilage treatment;

(b) removal of loose bodies;

(c) synovectomy;

(d) excision of joint osteophytes;

other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the ankle by arthroscopic means—one joint (H)

(Anaes.) (Assist.)

Fee: $673.60 Benefit: 75% = $505.20

(See para TN.8.199, TN.8.201, TN.8.202 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49732

49732 - Additional Information

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

Endoscopy of large tendons of foot, including any of the following (if performed):

(a) debridement of tendon and sheath;

(b) removal of loose bodies;

(c) synovectomy;

(d) excision of tendon impingement;

other than a service associated with a service to which item 49718 or 49724 applies (H)

(Anaes.) (Assist.)

Fee: $673.60 Benefit: 75% = $505.20

(See para TN.8.199, TN.8.201, TN.8.202 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