Medicare Benefits Schedule - Note TN.8.118

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.118

Paediatric Patients - (Items 50450 to 50658)

For the purpose of Medicare benefits a paediatric patient is considered to be a patient under the age of eighteen years, except in those instances where an item provides further specifications (i.e. fracture items for paediatric patients which state "with open growth plates").

Related Items: 50450 50451 50455 50456 50460 50461 50465 50466 50470 50471 50475 50476 50508 50512 50524 50528 50532 50536 50540 50544 50548 50552 50556 50560 50564 50568 50572 50576 50580 50584 50588 50600 50604 50608 50612 50616 50620 50624 50628 50632 50636 50640 50644 50654


Related Items

Category 3 - THERAPEUTIC PROCEDURES

50508

50508 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Treatment of fracture of distal end of radius or ulna (or both), by closed reduction, for a patient with open growth plates

(Anaes.)

Fee: $411.20 Benefit: 75% = $308.40 85% = $349.55

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50512

50512 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Treatment of fracture of distal end of radius or ulna (or both), by open or closed reduction, with internal fixation, for a patient with open growth plates (H)

(Anaes.) (Assist.)

Fee: $548.70 Benefit: 75% = $411.55

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50524

50524 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Radius or ulna, shaft of, with open growth plate, treatment of fracture of, in conjunction with dislocation of distal radio‑ulnar joint or proximal radio‑humeral joint (Galeazzi or Monteggia injury), by closed reduction (H)

(Anaes.) (Assist.)

Fee: $425.10 Benefit: 75% = $318.85

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50528

50528 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Radius or ulna, shaft of, with open growth plate, treatment of fracture of, in conjunction with dislocation of distal radio‑ulnar joint or proximal radio‑humeral joint (Galeazzi or Monteggia injury), by reduction with or without internal fixation by open or percutaneous means (H)

(Anaes.) (Assist.)

Fee: $685.70 Benefit: 75% = $514.30

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50532

50532 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Treatment of fracture of shafts of radius or ulna (or both), by closed reduction, for a patient with open growth plate (H)

(Anaes.)

Fee: $596.60 Benefit: 75% = $447.45

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50536

50536 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Treatment of fracture of shafts of radius or ulna (or both), by open or closed reduction, with internal fixation, for a patient with open growth plate (H)

(Anaes.) (Assist.)

Fee: $795.40 Benefit: 75% = $596.55

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50540

50540 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Olecranon, with open growth plate, treatment of fracture of, by open reduction (H)

(Anaes.) (Assist.)

Fee: $548.70 Benefit: 75% = $411.55

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50544

50544 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Radius, with open growth plate, treatment of fracture of head or neck of, by closed reduction of

(Anaes.)

Fee: $274.25 Benefit: 75% = $205.70 85% = $233.15

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50548

50548 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Radius, with open growth plate, treatment of fracture of head or neck of, by reduction with or without internal fixation by open or percutaneous means (H)

(Anaes.) (Assist.)

Fee: $548.70 Benefit: 75% = $411.55

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50552

50552 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Humerus, proximal, with open growth plate, treatment of fracture of, by closed reduction (H)

(Anaes.)

Fee: $473.20 Benefit: 75% = $354.90

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50556

50556 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Treatment of fracture of proximal humerus, by open or closed reduction, with internal fixation, for a patient with open growth plate (H)

(Anaes.) (Assist.)

Fee: $630.80 Benefit: 75% = $473.10

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50560

50560 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Humerus, shaft of, with open growth plate, treatment of fracture of, by closed reduction (H)

(Anaes.)

Fee: $493.65 Benefit: 75% = $370.25

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50564

50564 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Treatment of fracture of shaft of humerus, by open or closed reduction, with internal or external fixation, for a patient with open growth plate (H)

(Anaes.) (Assist.)

Fee: $658.25 Benefit: 75% = $493.70

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50568

50568 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Humerus, with open growth plate, supracondylar or condylar, treatment of fracture of, by closed reduction (H)

(Anaes.)

Fee: $576.05 Benefit: 75% = $432.05

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50572

50572 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Humerus, with open growth plate, supracondylar or condylar, treatment of fracture of, by reduction with or without internal fixation by open or percutaneous means (H)

(Anaes.) (Assist.)

Fee: $768.00 Benefit: 75% = $576.00

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50576

50576 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Treatment of fracture of femur, by closed reduction or traction, including application of hip spica (if performed), for a patient with open growth plate

(Anaes.) (Assist.)

Fee: $630.80 Benefit: 75% = $473.10 85% = $542.90

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50580

50580 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Tibia, with open growth plate, plateau or condyles, medial or lateral, treatment of fracture of, by reduction with or without internal fixation by open or percutaneous means (H)

(Anaes.) (Assist.)

Fee: $658.25 Benefit: 75% = $493.70

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50584

50584 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Tibia, distal, with open growth plate, treatment of fracture of, by reduction with or without internal fixation by open or percutaneous means (H)

(Anaes.) (Assist.)

Fee: $630.80 Benefit: 75% = $473.10

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50588

50588 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Tibia and fibula, with open growth plates, treatment of fracture of, by internal fixation (H)

(Anaes.) (Assist.)

Fee: $822.75 Benefit: 75% = $617.10

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50600

50600 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Scoliosis or kyphosis, in a child, manipulation of deformity and application of a localiser cast, under general anaesthesia, in a hospital (H)

(Anaes.) (Assist.)

Fee: $452.30 Benefit: 75% = $339.25

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50604

50604 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Scoliosis or kyphosis, in a child or adolescent, spinal fusion for (without instrumentation) (H)

(Anaes.) (Assist.)

Fee: $1,919.75 Benefit: 75% = $1,439.85

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50608

50608 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Scoliosis or kyphosis, in a child or adolescent, treatment by segmental instrumentation and fusion of the spine, other than a service to which any of items 51011 to 51171 apply (H)

(Anaes.) (Assist.)

Fee: $3,565.85 Benefit: 75% = $2,674.40

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50612

50612 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Scoliosis or kyphosis, in a child or adolescent, with spinal deformity, treatment by segmental instrumentation, utilising separate anterior and posterior approaches, other than a service to which any of items 51011 to 51171 apply (H)

(Anaes.) (Assist.)

Fee: $5,072.05 Benefit: 75% = $3,804.05

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50616

50616 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Scoliosis, in a child or adolescent, re-exploration for adjustment or removal of segmental instrumentation used for correction of spine deformity (H)

(Anaes.) (Assist.)

Fee: $644.45 Benefit: 75% = $483.35

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50620

50620 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Scoliosis, in a child or adolescent, revision of failed scoliosis surgery, involving more than one of osteotomy, fusion, removal of instrumentation or instrumentation, other than a service to which any of items 51011 to 51171 apply (H)

(Anaes.) (Assist.)

Fee: $3,565.85 Benefit: 75% = $2,674.40

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50624

50624 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Scoliosis, in a child or adolescent, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar) - not more than 4 levels (H)

(Anaes.) (Assist.)

Fee: $3,565.85 Benefit: 75% = $2,674.40

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50628

50628 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Scoliosis, in a child or adolescent, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar)—more than 4 levels (H)

(Anaes.) (Assist.)

Fee: $4,404.75 Benefit: 75% = $3,303.60

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50632

50632 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Scoliosis or kyphosis, in a child or adolescent, requiring segmental instrumentation and fusion of the spine down to and including the pelvis or sacrum, other than a service to which any of items 51011 to 51171 apply (H)

(Anaes.) (Assist.)

Fee: $3,702.90 Benefit: 75% = $2,777.20

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50636

50636 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Scoliosis, in a child or adolescent, requiring anterior decompression of the spinal cord with vertebral resection and instrumentation in the presence of spinal cord involvement, other than a service to which any of items 51011 to 51171 apply (H)

(Anaes.) (Assist.)

Fee: $4,114.30 Benefit: 75% = $3,085.75

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50640

50640 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Scoliosis, in a child or adolescent, congenital, resection and fusion of abnormal vertebra via an anterior or posterior approach, other than a service to which any of items 51011 to 51171 apply (H)

(Anaes.) (Assist.)

Fee: $2,274.35 Benefit: 75% = $1,705.80

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50644

50644 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Spine, bone graft to, for a child or adolescent, associated with surgery for correction of scoliosis or kyphosis or both (H)

(Anaes.) (Assist.)

Fee: $2,194.40 Benefit: 75% = $1,645.80

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50450

50450 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Unilateral single event multilevel surgery, for a patient less than 18 years of age with hemiplegic cerebral palsy, comprising 3 or more of the following:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening;

(b) correction of muscle imbalance by transfer of a tendon or tendons;

(c) correction of femoral torsion by rotational osteotomy of the femur;

(d) correction of tibial torsion by rotational osteotomy of the tibia;

(e) correction of joint instability by varus derotation osteotomy of the femur, subtalar arthrodesis with synovectomy if performed, or os calcis lengthening;

conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H)

(Anaes.) (Assist.)

Fee: $1,276.65 Benefit: 75% = $957.50

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50451

50451 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Unilateral single event multilevel surgery, for a patient less than 18 years of age with hemiplegic cerebral palsy, comprising 3 or more of the following:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening;

(b) correction of muscle imbalance by transfer of a tendon or tendons;

(c) correction of femoral torsion by rotational osteotomy of the femur;

(d) correction of tibial torsion by rotational osteotomy of the tibia;

(e) correction of joint instability by varus derotation osteotomy of the femur, subtalar arthrodesis with synovectomy if performed, or os calcis lengthening;

conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H) 

(Anaes.) (Assist.)

Fee: $1,276.65 Benefit: 75% = $957.50

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50455

50455 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and

(b) correction of muscle imbalance by transfer of a tendon or tendons;

conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H)

(Anaes.) (Assist.)

Fee: $1,445.70 Benefit: 75% = $1,084.30

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50456

50456 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and

(b) correction of muscle imbalance by transfer of a tendon or tendons;

conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H)

(Anaes.) (Assist.)

Fee: $1,445.70 Benefit: 75% = $1,084.30

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50460

50460 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises bilateral soft tissue surgery and bilateral femoral osteotomies, with:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and

(b) correction of muscle imbalance by transfer of a tendon or tendons; and

(c) correction of torsional abnormality of the femur by rotational osteotomy and internal fixation;

conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H)

(Anaes.) (Assist.)

Fee: $2,158.50 Benefit: 75% = $1,618.90

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50461

50461 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises bilateral soft tissue surgery and bilateral femoral osteotomies, with:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and

(b) correction of muscle imbalance by transfer of a tendon or tendons; and

(c) correction of torsional abnormality of the femur by rotational osteotomy and internal fixation;

conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H)

(Anaes.) (Assist.)

Fee: $2,158.50 Benefit: 75% = $1,618.90

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50465

50465 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises bilateral soft tissue surgery, bilateral femoral osteotomies and bilateral tibial osteotomies, with:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and

(b) correction of muscle imbalance by transfer of a tendon or tendons; and

(c) correction of abnormal torsion of the femur by rotational osteotomy with internal fixation; and

(d) correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation;

conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H)

(Anaes.) (Assist.)

Fee: $3,040.20 Benefit: 75% = $2,280.15

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50466

50466 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises bilateral soft tissue surgery, bilateral femoral osteotomies and bilateral tibial osteotomies, with:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and

(b) correction of muscle imbalance by transfer of a tendon or tendons; and

(c) correction of abnormal torsion of the femur by rotational osteotomy with internal fixation; and

(d) correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation;

conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H)

(Anaes.) (Assist.)

Fee: $3,040.20 Benefit: 75% = $2,280.15

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50470

50470 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Bilateral single event multilevel surgery, for a patient less than 18 years of age with cerebral palsy, that comprises bilateral soft tissue surgery, bilateral femoral osteotomies, bilateral tibial osteotomies and bilateral foot stabilisation, with:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and

(b) correction of muscle imbalance by transfer of a tendon or tendons; and

(c) correction of abnormal torsion of the femur by rotational osteotomy with internal fixation; and

(d) correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation; and

(e) correction of bilateral pes valgus by os calcis lengthening or subtalar fusion;

conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H)

(Anaes.) (Assist.)

Fee: $3,855.70 Benefit: 75% = $2,891.80

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50471

50471 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Bilateral single event multilevel surgery, for a patient less than 18 years of age with cerebral palsy, that comprises bilateral soft tissue surgery, bilateral femoral osteotomies, bilateral tibial osteotomies and bilateral foot stabilisation, with:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and

(b) correction of muscle imbalance by transfer of a tendon or tendons; and

(c) correction of abnormal torsion of the femur by rotational osteotomy with internal fixation; and

(d) correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation; and

(e) correction of bilateral pes valgus by os calcis lengthening or subtalar fusion;

conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H)

(Anaes.) (Assist.)

Fee: $3,855.70 Benefit: 75% = $2,891.80

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50475

50475 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, for the correction of crouch gait, including:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and

(b) correction of muscle imbalance by transfer of a tendon or tendons; and

(c) correction of flexion deformity at the knee by extension osteotomy of the distal femur including internal fixation; and

(d) correction of patella alta and quadriceps insufficiency by patella tendon shortening or reconstruction; and

(e) correction of tibial torsion by rotational osteotomy of the tibia with internal fixation; and

(f) correction of foot instability by os calcis lengthening or subtalar fusion;

conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H)

(Anaes.) (Assist.)

Fee: $4,449.10 Benefit: 75% = $3,336.85

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50476

50476 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
15-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, for the correction of crouch gait including:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and

(b) correction of muscle imbalance by transfer of a tendon or tendons; and

(c) correction of flexion deformity at the knee by extension osteotomy of the distal femur including internal fixation; and

(d) correction of patella alta and quadriceps insufficiency by patella tendon shortening or reconstruction; and

(e) correction of tibial torsion by rotational osteotomy of the tibia with internal fixation; and

(f) correction of foot instability by os calcis lengthening or subtalar fusion;

conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H) 

(Anaes.) (Assist.)

Fee: $4,449.10 Benefit: 75% = $3,336.85

(See para TN.8.118 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

50654

50654 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Treatment of hip dysplasia or dislocation, for a patient under the age of 18 years, by examination or closed reduction (or both), with or without arthrography of the hip under anaesthesia, and with application or reapplication of a hip spica (H)

(Anaes.) (Assist.)

Fee: $516.75 Benefit: 75% = $387.60

(See para TN.8.118 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