Medicare Benefits Schedule - Note TN.8.19

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.19

Anti reflux Operations - (Items 30529 to 30533, 30756 and 31466)

These items cover various operations for reflux oesophagitis. Where the only procedure performed is the simple closure of a diaphragmatic hiatus benefit would be attracted under Item 30387 (Laparoscopy or laparotomy when an operation is performed on abdominal, retroperitoneal or pelvic viscera, excluding lymph node biopsy, other than a service to which another item in this Group applies).

 

Related Items: 30529 30530 30532 30533 30756 31466


Related Items

Category 3 - THERAPEUTIC PROCEDURES

30529

30529 - Additional Information

Item Start Date:
31-Oct-1992
Description Updated:
01-Nov-1992
Schedule Fee Updated:
01-Jul-2021

ANTIREFLUX operation by fundoplasty, with OESOPHAGOPLASTY for stricture or short oesophagus

(Anaes.) (Assist.)

Fee: $1,359.85 Benefit: 75% = $1,019.90

(See para TN.8.19 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

30530

30530 - Additional Information

Item Start Date:
31-Oct-1992
Description Updated:
01-Nov-1992
Schedule Fee Updated:
01-Jul-2021

ANTIREFLUX operation by cardiopexy, with or without fundoplasty

(Anaes.) (Assist.)

Fee: $816.00 Benefit: 75% = $612.00

(See para TN.8.19 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

30532

30532 - Additional Information

Item Start Date:
31-Oct-1992
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Oesophagogastric myotomy (Heller’s operation) by endoscopic, abdominal or thoracic approach, whether performed by open or minimally invasive approach, including fundoplication when performed laparoscopically

(Anaes.) (Assist.)

Fee: $936.90 Benefit: 75% = $702.70

(See para TN.8.19 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

30533

30533 - Additional Information

Item Start Date:
31-Oct-1992
Description Updated:
01-Nov-2000
Schedule Fee Updated:
01-Jul-2021

OESOPHAGOGASTRIC MYOTOMY (Heller's operation) via abdominal or thoracic approach, WITH FUNDOPLASTY, with or without closure of the diaphragmatic hiatus, by laparoscopy or open operation

(Anaes.) (Assist.)

Fee: $1,114.40 Benefit: 75% = $835.80

(See para TN.8.19 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

30756

30756 - Additional Information

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

Antireflux operation by fundoplasty, with or without cardiopexy, by any approach, with or without closure of the diaphragmatic hiatus, other than a service to which item 30601 applies

(Anaes.) (Assist.)

Fee: $906.65 Benefit: 75% = $680.00

(See para TN.8.19 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

31466

31466 - Additional Information

Item Start Date:
01-Nov-2000
Description Updated:
01-Nov-2000
Schedule Fee Updated:
01-Jul-2021

ANTIREFLUX OPERATION BY FUNDOPLASTY, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus, revision procedure, by laparoscopy or open operation

(Anaes.) (Assist.)

Fee: $1,359.90 Benefit: 75% = $1,019.95

(See para TN.8.19 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