Medicare Benefits Schedule - Note TN.8.204

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.204

Procedures for tendon transfer (Items 49724 and 49736)

  • An adjacent tendon transfer is defined as a side to side repair or transfer of an adjacent tendon to the tendon being reconstructed and covered under 49724.
  • When a tendon is harvested from a site separate to the reconstructed tendon or moved to the contralateral side of the foot then item 49736 can be combined.

Related Items: 49724 49727 49728 49736 49803 49806 49809 49812 49814


Related Items

Category 3 - THERAPEUTIC PROCEDURES

49724

49724 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2022

Reconstruction of major tendon of ankle, by any method, including any of the following (if performed):

(a) synovial biopsy;

(b) synovectomy;

(c) adjacent tendon transfer;

(d) turn down flaps;

other than a service associated with a service to which item 49718 applies (H)

(Anaes.) (Assist.)

Fee: $696.80 Benefit: 75% = $522.60

(See para TN.8.204 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49727

49727 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2022

Lengthening of major tendon of ankle, including either or both of the following (if performed):

(a) synovial biopsy;

(b) synovectomy

(H)

(Anaes.) (Assist.)

Fee: $298.45 Benefit: 75% = $223.85

(See para TN.8.204 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49728

49728 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2022

Lengthening of Achilles’ tendon, by any method, with gastro-soleus lengthening for the correction of equinous deformity, including either or both of the following (if performed):

(a) synovial biopsy;

(b) synovectomy;

other than a service associated with a service to which item 49727 applies (H)

(Anaes.) (Assist.)

Fee: $597.00 Benefit: 75% = $447.75

(See para TN.8.204 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49814

49814 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2022

Reconstruction of major tendon of ankle, by any method, including:

(a) osteotomy of hindfoot, with internal fixation; and

(b) lengthening of major tendon of ankle; and

(c) any of the following (if performed):

(i) synovial biopsy;

(ii) synovectomy;

(iii) adjacent tendon transfer;

(iv) turn down flaps;

other than a service associated with a service to which item 49718 applies (H)

(Anaes.) (Assist.)

Fee: $1,045.15 Benefit: 75% = $783.90

(See para TN.8.200, TN.8.204 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49736

49736 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2022

Transfer of major tendon of foot and ankle, including:

(a) split or whole transfer to contralateral side of foot; and

(b) passage of posterior or anterior tendon to, or through, interosseous membrane; and

(c) any of the following (if performed):

(i) synovial biopsy;

(ii) synovectomy;

(iii) tendon lengthening;

(iv) insetting of tendon

(H)

(Anaes.) (Assist.)

Fee: $696.80 Benefit: 75% = $522.60

(See para TN.8.204 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49803

49803 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2022

Secondary repair of flexor or extensor tendon of foot, including either or both of the following (if performed):

(a) synovial biopsy;

(b) synovectomy;

—one toe

(Anaes.) (Assist.)

Fee: $179.15 Benefit: 75% = $134.40 85% = $152.30

(See para TN.8.204 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49806

49806 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2022

Subcutaneous tenotomy of foot, by small percutaneous incisions—one or more tendons

(Anaes.)

Fee: $139.35 Benefit: 75% = $104.55 85% = $118.45

(See para TN.8.204 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49809

49809 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2022

Open tenotomy or lengthening of foot, by open incision, with or without tenoplasty, including either or both of the following (if performed):

(a) synovial biopsy;

(b) synovectomy;

—one toe

(Anaes.) (Assist.)

Fee: $228.85 Benefit: 75% = $171.65 85% = $194.55

(See para TN.8.204, TN.8.223 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49812

49812 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2022

Advancement of tendon or ligament transfer of foot, including:

(a) side to side transfer, harvesting and transfer for ligament or minor foot tendon reconstruction; and

(b) either or both of the following (if performed):

(i) synovial biopsy;

(ii) synovectomy;

—one major tendon or toe (H)

(Anaes.) (Assist.)

Fee: $457.70 Benefit: 75% = $343.30

(See para TN.8.201, TN.8.204, TN.8.223 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