Medicare Benefits Schedule - Note TN.8.234

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.234

Cervical ablation (Item 35644 and 35645)

-       Not for use in patients with a type 3 transformation zone.

-       A second ablative treatment for a HSIL (CIN2/3) should NOT be performed (an excisional treatment is indicated in this situation).

-       Treatment of high-grade lesions (CIN 2/3) in an immunocompromised patients should be by excisional methods only.

Related Items: 35644 35645


Related Items

Category 3 - THERAPEUTIC PROCEDURES

35644

35644 - Additional Information

Item Start Date:
01-Apr-1992
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Jul-2022

Cervix, ablation by electrocoagulation diathermy, laser or cryotherapy, with colposcopy, including any local anaesthesia and biopsies, for previously biopsy confirmed HSIL (CIN 2/3) in a patient with a Type 1 or 2 (completely visible) transformation zone, if there is:
(a) no evidence of invasive or glandular disease; and
(b) no discordance between cytology and previous histology;
not being a service associated with a service to which item 35647 or 35648 applies 

(Anaes.)

Fee: $215.30 Benefit: 75% = $161.50 85% = $183.05

(See para TN.8.45, TN.8.234 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

35645

35645 - Additional Information

Item Start Date:
01-Apr-1992
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Jul-2022

Cervix, ablation by electrocoagulation diathermy, laser or cryotherapy, with colposcopy, including any local anaesthesia or biopsies, in conjunction with ablative therapy of additional areas of biopsy proven high grade intraepithelial lesions of one or more sites of the vagina, vulva, urethra or anus, for previously biopsy confirmed HSIL (CIN2/3) in a patient with a Type 1 of 2 (completely visible) transformation zone, if there is:
(a) no evidence of invasive or glandular disease; and
(b) no discordance between cytology and previous histology;
not being a service associated with a service to which item 35647 or 35648 applies 

(Anaes.)

Fee: $336.90 Benefit: 75% = $252.70 85% = $286.40

(See para TN.8.45, TN.8.234 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