Medicare Benefits Schedule - Note TN.10.27

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Category 3 - THERAPEUTIC PROCEDURES

TN.10.27

Anaesthesia for Services on the Upper and Lower Abdomen - (Subgroups 6 and 7)

Establishing whether an RVG anaesthetic item pertains to the upper or lower abdomen, depends on whether the majority of the associated surgery was performed in the region above or below the umbilicus. 

Some examples of upper abdomen would be:

  • laparoscopy on upper abdominal viscera;
  • laparoscopy with operative focus superior to the umbilical port;
  • surgery to the liver, gallbladder and ducts, stomach, pancreas, small bowel to DJ flexure;
  • the kidneys in their normal location (as opposed to pelvic kidney); or
  • spleen or bowel (where it involves a diaphragmatic hernia or adhesions to gallbladder bed).  

Some examples of lower abdomen would be:

  • abdominal wall below the umbilicus;
  • laparoscopy on lower abdominal viscera;
  • laparoscopy with operative focus inferior to the umbilical port;
  • surgery on the jejunum, ileum, or colon;
  • surgery on the appendix; or
  • surgery associated with the female reproductive system.

 

Related Items: 20706 20750 20840


Related Items

Category 3 - THERAPEUTIC PROCEDURES

20706

20706 - Additional Information

Item Start Date:
01-Nov-2001
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Nov-2023

Initiation of the management of anaesthesia for laparoscopic procedures in the upper abdomen, including laparoscopic cholecystectomy, not being a service to which another item in this Subgroup applies

(7 basic units)

Fee: $152.60 Benefit: 75% = $114.45 85% = $129.75

(See para TN.10.27 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

20750

20750 - Additional Information

Item Start Date:
01-Nov-2019
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Nov-2023

Initiation of the management of anaesthesia for hernia repairs to the upper abdominal wall, other than a service to which another item in this Subgroup applies.

(5 basic units)

Fee: $109.00 Benefit: 75% = $81.75 85% = $92.65

(See para TN.10.27 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

20840

20840 - Additional Information

Item Start Date:
01-Nov-2001
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Nov-2023

Initiation of the management of anaesthesia for all open procedures within the lower abdominal peritoneal cavity, including appendicectomy, not being a service to which another item in this Subgroup applies

(6 basic units)

Fee: $130.80 Benefit: 75% = $98.10 85% = $111.20

(See para TN.10.27 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