Medicare Benefits Schedule - Note TN.8.96

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.96

Augmentation Mammaplasty - breast volume (45524)

Where volume differences of breasts are referenced, it is expected that volumetric measurement of the breasts is performed using a recognised technique published in a peer-reviewed journal article. Breast volumes and volume differences should be recorded in the patient case notes.

Related Items: 45524


Related Items

Category 3 - THERAPEUTIC PROCEDURES

45524

45524 - Additional Information

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

Mammaplasty, augmentation (unilateral) in the context of:

(a) breast cancer; or

(b) developmental abnormality of the breast, if there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least:

(i) 20% in normally shaped breasts; or

(ii) 10% in tubular breasts or in breasts with abnormally high inframammary folds.

Applicable only once per occasion on which the service is provided, other than a service associated with a service to which item 45006 or 45012 applies (H)

(Anaes.) (Assist.)

Fee: $816.35 Benefit: 75% = $612.30

(See para TN.8.96 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