Medicare Benefits Schedule - Note TN.8.208

An Intraoperative ultrasound of the biliary tract or operative cholangiography (30439) can be claimed in association with a cholecystectomy (item 30448 or 30449).

A choledochoscopy (item 30442) can be claimed in association with a cholecystectomy (30448).

For item 30445 an attempt at cholangiography requires use of a cholangiography catheter and presence of radiography staff and equipment in theatre.

Related Items: 30439 30442 30445 30448 30449

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Multiple Operation Rule

Intraoperative ultrasound of biliary tract, or operative cholangiography, if the service:

(a) is performed in association with an intra-abdominal procedure; and

(b) is not associated with a service to which item 30442 or 30445 applies

(Anaes.) (Assist.)

Fee: $204.25 Benefit: 75% = $153.20

(See para TN.8.208 of explanatory notes to this Category)

Multiple Operation Rule

CHOLEDOCHOSCOPY in conjunction with another procedure

(Anaes.)

Fee: $204.25 Benefit: 75% = $153.20

(See para TN.8.208 of explanatory notes to this Category)

Multiple Operation Rule

Cholecystectomy, by any approach, with attempted or completed cholangiogram or intraoperative ultrasound of the biliary system, when performed via laparoscopic or open approach or when conversion from laparoscopic to open approach is required

(Anaes.) (Assist.)

Fee: $915.90 Benefit: 75% = $686.95

(See para TN.8.208 of explanatory notes to this Category)

Multiple Operation Rule

Cholecystectomy, by any approach, involving removal of common duct calculi via the cystic duct, with or without stent insertion

(Anaes.) (Assist.)

Fee: $1,070.95 Benefit: 75% = $803.25

(See para TN.8.208 of explanatory notes to this Category)

Multiple Operation Rule

Cholecystectomy with removal of common duct calculi via choledochotomy, by any approach, with or without insertion of a stent

(Anaes.) (Assist.)

Fee: $1,190.75 Benefit: 75% = $893.10

(See para TN.8.208 of explanatory notes to this Category)