Medicare Benefits Schedule - Note TN.8.175

• The items include all aspects of the surgical approach, the resection, and the subsequent reconstruction by the same surgeon (as required).
• The resection of a tumour and associated reconstruction includes any bony or soft tissue procedures, except for bone grafting items which may be co-claimed where appropriate.
• A second surgeon may claim additional items used in soft-tissue reconstruction associated with tumour resections.

Related Items: 50215 50218 50221 50224

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Multiple Operation Rule

Wide excision of malignant or aggressive bone or soft tissue tumour (or both), with intercalary reconstruction of bone by prosthesis, allograft or autograft (H)

(Anaes.) (Assist.)

Fee: $2,279.80 Benefit: 75% = $1,709.85

(See para TN.8.173, TN.8.175 of explanatory notes to this Category)

Multiple Operation Rule

Wide excision of malignant or aggressive bone or soft tissue tumour (or both), with reconstruction, replacement or arthrodesis of adjacent joint, by prosthesis, allograft or autograft (H)

(Anaes.) (Assist.)

Fee: $3,005.25 Benefit: 75% = $2,253.95

(See para TN.8.173, TN.8.175 of explanatory notes to this Category)

Multiple Operation Rule

Wide excision of malignant or aggressive bone or soft tissue tumour (or both) of pelvis, sacrum or spine, without reconstruction (H)

(Anaes.) (Assist.)

Fee: $2,797.80 Benefit: 75% = $2,098.35

(See para TN.8.173, TN.8.175 of explanatory notes to this Category)

Multiple Operation Rule

Wide excision of malignant or aggressive bone or soft tissue tumour (or both) of pelvis, sacrum or spine, with reconstruction of bone defect, or one or more joints, by any technique

(Anaes.) (Assist.)

Fee: $3,108.75 Benefit: 75% = $2,331.60 85% = $3,010.05

(See para TN.8.173, TN.8.175 of explanatory notes to this Category)