Medicare Benefits Schedule - Note TN.8.176

• The histological diagnosis of the aggressive or malignant nature of the tumour should have been previously documented. The item includes 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.
• A second surgeon may claim additional items used in soft-tissue reconstruction associated with tumour resections.

Related Items: 50233 50236 50239

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Multiple Operation Rule

Treatment of malignant or aggressive bone or soft tissue tumour (or both) by hindquarter or forequarter amputation (H)

(Anaes.) (Assist.)

Fee: $2,383.40 Benefit: 75% = $1,787.55

(See para TN.8.176 of explanatory notes to this Category)

Multiple Operation Rule

Treatment of malignant or aggressive bone or soft tissue tumour (or both), by hip disarticulation, shoulder disarticulation or amputation through the proximal one third of the femur (H)

(Anaes.) (Assist.)

Fee: $1,865.30 Benefit: 75% = $1,399.00

(See para TN.8.176 of explanatory notes to this Category)

Multiple Operation Rule

Treatment of malignant or aggressive bone or soft tissue tumour (or both), by amputation, other than a service associated with a service to which item 50233 or 50236 applies (H)

(Anaes.) (Assist.)

Fee: $1,243.40 Benefit: 75% = $932.55

(See para TN.8.176 of explanatory notes to this Category)