Medicare Benefits Schedule - Note TN.8.246

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.246

Rectal Resection (items 32025, 32026 and 32028)

These rectal resection procedures should be performed with the following requirements:
• in an appropriate setting with High Dependency Unit or Intensive Care Unit availability;
• include multidisciplinary team discussion of patient;
• have patient managed using Enhanced Recovery after Surgery (ERAS) principles; and
• in a setting with adequate access to stomal therapy nurse services.

In addition, item 32028 is appropriately used by 1 surgeon incorporating transanal total mesorectal excision.

Related Items: 32025 32026 32028


Related Items

Category 3 - THERAPEUTIC PROCEDURES

32025

32025 - Additional Information

Item Start Date:
01-May-1994
Description Updated:
01-Jul-2022
Schedule Fee Updated:
01-Jul-2022

RECTUM, LOW RESTORATIVE ANTERIOR RESECTION WITH EXTRAPERITONEAL ANASTOMOSIS (of the rectum) less than 10 centimetres from the anal verge, with or without covering stoma not being a service associated with a service to which item 32000, 32030, 32106 or 32232 applies (H)

(Anaes.) (Assist.)

Fee: $1,929.65 Benefit: 75% = $1,447.25

(See para TN.8.246 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

32026

32026 - Additional Information

Item Start Date:
01-May-1994
Description Updated:
01-Jul-2022
Schedule Fee Updated:
01-Jul-2022

Rectum, ultra-low restorative resection, with or without covering stoma and with or without colonic reservoir, if the anastomosis is sited in the anorectal region and is 6 cm or less from the anal verge, not being a service associated with a service to which item 32000, 32030, 32106, 32117 or 32232 applies (H)

(Anaes.) (Assist.)

Fee: $2,160.65 Benefit: 75% = $1,620.50

(See para TN.8.246 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

32028

32028 - Additional Information

Item Start Date:
01-May-1994
Description Updated:
01-Jul-2022
Schedule Fee Updated:
01-Jul-2022

Rectum, low or ultra-low restorative resection, with per anal sutured coloanal anastomosis, with or without covering stoma and with or without colonic reservoir, not being a service associated with a service to which item 32000, 32030, 32106, 32117 or 32232 applies (H)

(Anaes.) (Assist.)

Fee: $2,295.15 Benefit: 75% = $1,721.40

(See para TN.8.246 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