Medicare Benefits Schedule - Note TN.8.213

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.213

Congenital surgery alternative

For congenital surgery, alternative dissolvable options may be used instead of the insertion of permanent fixed rings which may result in negative long term outcomes.

Related Items: 38477


Related Items

Category 3 - THERAPEUTIC PROCEDURES

38477

38477 - Additional Information

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

Valve annuloplasty with insertion of ring, other than:

(a) a service to which item 38516 or 38517 applies; or

(b) a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies

(H)

(Anaes.) (Assist.)

Fee: $2,205.10 Benefit: 75% = $1,653.85

(See para TN.8.67, TN.8.213 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