Medicare Benefits Schedule - Note TN.8.30

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.30

Reversal of a Bariatric Procedure (item 31584)

If a revisional procedure requires the reversal of the existing bariatric procedure, item 31584 can be claimed with items 31569 to 31581 for the new procedure for the same patient on the same occasion. For example, item 31584 could be claimed for the reversal of a gastric band, and 31572 for conversion to gastric bypass or 31575 for conversion to sleeve gastrectomy.

 

Related Items: 31584


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Category 3 - THERAPEUTIC PROCEDURES

31584

31584 - Additional Information

Item Start Date:
01-Jul-2013
Description Start Date:
01-Jul-2013
Schedule Fee Start Date:
01-Jul-2019

Surgical reversal of adjustable gastric banding (removal or replacement of gastric band), gastric bypass, gastroplasty (excluding by gastric plication) or biliopancreatic diversion being services to which items 31569 to 31581 apply

(Anaes.) (Assist.)

Fee: $1,563.75 Benefit: 75% = $1,172.85

(See para TN.8.30 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