Medicare Benefits Schedule - Note TN.8.168

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.168

Procedure for osteotomy (47501, 48400 - 48427)

 An osteotomy is a planned bone cut that is intended to realign the bone or alter the length of a bone.

Related Items: 47501 48400 48403 48406 48409 48412 48415 48421 48422 48423 48424 48426 48427


Related Items

Category 3 - THERAPEUTIC PROCEDURES

47501

47501 - Additional Information

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

Treatment of anterior or posterior column fracture of acetabulum, by open reduction, with internal fixation, including any of the following (if performed):

(a) capsular stabilisation;

(b) capsulotomy;

(c) osteotomy

(H)

(Anaes.) (Assist.)

Fee: $979.60 Benefit: 75% = $734.70

(See para TN.8.168 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

48400

48400 - Additional Information

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

Osteotomy of phalanx or metatarsal of foot, for correction of deformity, excision of accessory bone or sesamoid bone, including any of the following (if performed):

(a) removal of bone;

(b) excision of surrounding osteophytes;

(c) synovectomy;

(d) joint release;

—one bone (H)

(Anaes.) (Assist.)

Fee: $342.90 Benefit: 75% = $257.20

(See para TN.8.168, TN.8.196, TN.8.200, TN.8.223 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

48403

48403 - Additional Information

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

Osteotomy of phalanx or metatarsal of first toe of foot, for correction of deformity, with internal fixation, including any of the following (if performed):

(a) removal of bone;

(b) excision of surrounding osteophytes;

(c) synovectomy;

(d) joint release;

—one bone (H)

(Anaes.) (Assist.)

Fee: $538.80 Benefit: 75% = $404.10

(See para TN.8.168, TN.8.196, TN.8.200, TN.8.223 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

48406

48406 - Additional Information

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

Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, including any of the following (if performed):

(a) removal of bone;

(b) excision of surrounding osteophytes;

(c) synovectomy;

(d) joint release;

—one bone (H)

(Anaes.) (Assist.)

Fee: $342.90 Benefit: 75% = $257.20

(See para TN.8.168, TN.8.196, TN.8.200 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

48409

48409 - Additional Information

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

Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, with internal fixation, including any of the following (if performed):

(a) removal of bone;

(b) excision of surrounding osteophytes;

(c) synovectomy;

(d) joint release;

—one bone (H)

(Anaes.) (Assist.)

Fee: $538.80 Benefit: 75% = $404.10

(See para TN.8.168, TN.8.196, TN.8.200 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

48412

48412 - Additional Information

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

Osteotomy of humerus, without internal fixation (H)

(Anaes.) (Assist.)

Fee: $656.20 Benefit: 75% = $492.15

(See para TN.8.168 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

48415

48415 - Additional Information

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

Osteotomy of humerus, with internal fixation (H)

(Anaes.) (Assist.)

Fee: $832.65 Benefit: 75% = $624.50

(See para TN.8.168 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

48421

48421 - Additional Information

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

Osteotomy of proximal tibia, to alter lower limb alignment or rotation (or both), with internal or external fixation (or both) (H)

(Anaes.) (Assist.)

Fee: $956.30 Benefit: 75% = $717.25

(See para TN.8.168, TN.8.196, TN.8.200 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

48422

48422 - Additional Information

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

Osteotomy of distal femur, to alter lower limb alignment or rotation (or both), with internal or external fixation (or both) (H)

(Anaes.) (Assist.)

Fee: $950.25 Benefit: 75% = $712.70

(See para TN.8.168 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

48423

48423 - Additional Information

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

Osteotomy of pelvis, in a patient aged 18 years or over, including any of the following (if performed):

(a) associated intra-articular procedures;

(b) bone grafting;

(c) internal fixation

(H)

(Anaes.) (Assist.)

Fee: $783.80 Benefit: 75% = $587.85

(See para TN.8.168 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

48424

48424 - Additional Information

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

Osteotomy of pelvis, in a patient aged less than 18 years, with application of hip spica, including internal fixation (if performed), other than a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H)

(Anaes.) (Assist.)

Fee: $783.80 Benefit: 75% = $587.85

(See para TN.8.127, TN.8.168 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

48426

48426 - Additional Information

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

Osteotomy of femur, in a patient aged 18 years or over, including either or both of the following (if performed):

(a) bone grafting;

(b) internal fixation

(H)

(Anaes.) (Assist.)

Fee: $950.25 Benefit: 75% = $712.70

(See para TN.8.168 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

48427

48427 - Additional Information

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

Osteotomy of femur, in a patient aged less than 18 years, including internal fixation (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H)

(Anaes.) (Assist.)

Fee: $950.25 Benefit: 75% = $712.70

(See para TN.8.168 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