Medicare Benefits Schedule - Note TN.8.166

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.166

Item 40803 - co-claiming restrictions

Items 39015, 39503, 39906 and 40104 do not apply to a service if the service is provided in conjunction with the service described in item 40803.

Related Items: 39015 39503 39906 40104 40803


Related Items

Category 3 - THERAPEUTIC PROCEDURES

40803

40803 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Nov-2020
Schedule Fee Updated:
01-Jul-2021

Intracranial stereotactic procedure by any method, other than:

(a) a service to which item 40801 applies; or

(b) a service associated with a service to which item 39018, 39109, 39113, 39604, 39615, 39638, 39639, 39641, 39651, 39654, 39656, 39700, 39703, 39710, 39712, 39715, 39718, 39720, 39801, 39803, 39818, 39821, 39900, 39903, 40004, 40012, 40106, 40109, 40700, 40703, 40706, 40709 or 40712 applies

(Anaes.) (Assist.)

Fee: $1,244.15 Benefit: 75% = $933.15 85% = $1,156.25

(See para TN.8.166 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

39906

39906 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Nov-2020
Schedule Fee Updated:
01-Jul-2021

Osteomyelitis of skull or removal of infected bone flap, craniectomy for, other than a service associated with a service to which item 40600 applies

(Anaes.) (Assist.)

Fee: $829.40 Benefit: 75% = $622.05

(See para TN.8.166 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

39015

39015 - Additional Information

Item Start Date:
01-Nov-2020
Description Updated:
01-Nov-2020
Schedule Fee Updated:
01-Jul-2021

Intracranial parenchymal pressure monitoring device, insertion of—including burr hole (excluding after care)

(Anaes.)

Fee: $391.25 Benefit: 75% = $293.45

(See para TN.8.4, TN.8.166 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

39503

39503 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Nov-2020
Schedule Fee Updated:
01-Jul-2021

Facio-hypoglossal nerve or facio-accessory nerve, anastomosis of

(Anaes.) (Assist.)

Fee: $993.70 Benefit: 75% = $745.30

(See para TN.8.166 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

40104

40104 - Additional Information

Item Start Date:
01-Nov-2020
Description Updated:
01-Nov-2020
Schedule Fee Updated:
01-Jul-2021

Spinal myelomeningocele or spinal meningocele, excision and closure of, other than a service associated with a service to which item 40600 applies

(Anaes.) (Assist.)

Fee: $1,056.35 Benefit: 75% = $792.30

(See para TN.8.166 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