Medicare Benefits Schedule - Note TN.8.264

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.264

Terminology for “maxilla” – (Items 45596 and 45597)

Historically, the term “maxilla” referred to one of the two identical bones that form the upper jaw with the “maxillae” meeting in the midline of the face. Currently the “maxilla” is considered a double structure or one bone (i.e. the entire upper jaw).

A “hemimaxillectomy” refers to the surgical removal of one side of the upper jaw while a “total maxillectomy” refers to the removal of all of the “maxilla” (i.e. both sides). For item 45597, the term "bilateral" will be included in recognition that some practitioners still conduct their practice using the historical terminology, however, it is expected that most providers will use the current terminology.

Related Items: 45596 45597


Related Items

Category 3 - THERAPEUTIC PROCEDURES

45596

45596 - Additional Information

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

Hemimaxillectomy (H)

(Anaes.) (Assist.)

Fee: $991.10 Benefit: 75% = $743.35

(See para TN.8.264 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

45597

45597 - Additional Information

Item Start Date:
01-Apr-1992
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Nov-2023

Total maxillectomy (bilateral) (H)

(Anaes.) (Assist.)

Fee: $1,326.75 Benefit: 75% = $995.10

(See para TN.8.264 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