Medicare Benefits Schedule - Note TN.8.236

This procedure should be undertaken by a person with appropriate training in line with the National Framework for Gynaecological Cancer Control.

This item includes the extensive dissection and removal of the peritoneum from organs contained in the abdominal/pelvic cavity, including bowel, bladder, spleen, pancreas or liver.

This item does not include resection of bowel, bladder, spleen, pancreas or liver.

This item should not be used for staging procedures for gynaecological malignancy. 

This item should not be used for a lymph node recurrence without involvement of peritoneal surfaces.

Related Items: 35721

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Multiple Operation Rule

Radical debulking, involving the radical excision of a macroscopically disseminated gynaecological malignancy from the abdominal and pelvic cavity, where cancer has extended beyond the pelvis, including any of the following:
(a) resection of peritoneum over any of the following:
         (i) the diaphragm;
         (ii) the paracolic gutters;
         (iii) the greater or lesser omentum;
         (iv) the porta hepatis;
(b) cytoreduction of recurrent gynaecological malignancy from the abdominal cavity following previous abdominal surgery, radiation or chemotherapy;
(c) cytoreduction of recurrent gynaecological malignancy from the pelvic cavity following previous pelvic surgery, radiation or chemotherapy;
not being a service to which a service associated with a service to which item 35720 or 35726 applies (H) 

(Anaes.) (Assist.)

Fee: $3,511.10 Benefit: 75% = $2,633.35

(See para TN.8.2, TN.8.235, TN.8.236 of explanatory notes to this Category)