Medicare Benefits Schedule - Note TN.8.149

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.149

Application of items 51160 and 51166

If the spine surgeon performs their own exposure to the thoracic or lumbar spine then 51160 or 51165 can be added to the claim for the overall surgery.  If an assisting surgeon is used at any time during the procedure, then 51160 or 51165 should be used in isolation by the assisting surgeon. If the assisting surgeon needs to perform complex non-spinal surgery, they may use a more appropriate item but not in combination with 51160 or 51165.  If an exposure surgeon claims a number from any section of the MBS schedule, the spinal surgeon cannot claim 51160 or 51165.

Related Items: 51160 51165


Related Items

Category 3 - THERAPEUTIC PROCEDURES

51160

51160 - Additional Information

Item Start Date:
01-Nov-2018
Description Updated:
01-Nov-2018
Schedule Fee Updated:
01-Jul-2019

Anterior exposure of thoracic or lumbar spine, one motion segment, not being a service to which item 51165 applies

(Anaes.) (Assist.)

Fee: $1,168.40 Benefit: 75% = $876.30

(See para TN.8.141, TN.8.149 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

51165

51165 - Additional Information

Item Start Date:
01-Nov-2018
Description Updated:
01-Nov-2018
Schedule Fee Updated:
01-Jul-2019

Anterior exposure of thoracic or lumbar spine, more than one motion segment, not being a service to which item 51160 applies

(Anaes.) (Assist.)

Fee: $1,473.20 Benefit: 75% = $1,104.90

(See para TN.8.141, TN.8.149 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