Medicare Benefits Schedule - Note TN.8.25

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.25

Excision of Breast Lesions, Abnormalities or Tumours - Malignant or Benign - (Items 31500 to 31515)

Therapeutic biopsy or excision of breast lesions, abnormalities or tumours under Items: 31500, 31503, 31506, 31509, 31512, 31515 either singularly or in combination should not be claimed when using the Advanced Breast Biopsy Instrumentation (ABBI) procedure, or any other large core breast biopsy device.

Related Items: 31500 31503 31506 31509 31515


Related Items

Category 3 - THERAPEUTIC PROCEDURES

31500

31500 - Additional Information

Item Start Date:
01-Nov-2002
Description Updated:
01-May-2003
Schedule Fee Updated:
01-Jul-2022

BREAST, BENIGN LESION up to and including 50mm in diameter, including simple cyst, fibroadenoma or fibrocystic disease, open surgical biopsy or excision of, with or without frozen section histology

(Anaes.)

Fee: $274.90 Benefit: 75% = $206.20 85% = $233.70

(See para TN.8.25 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

31503

31503 - Additional Information

Item Start Date:
01-Nov-2002
Description Updated:
01-May-2003
Schedule Fee Updated:
01-Jul-2022

BREAST, BENIGN LESION more than 50mm in diameter, excision of

(Anaes.) (Assist.)

Fee: $366.55 Benefit: 75% = $274.95 85% = $311.60

(See para TN.8.25 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

31506

31506 - Additional Information

Item Start Date:
01-Nov-2002
Description Updated:
01-May-2003
Schedule Fee Updated:
01-Jul-2022

BREAST, ABNORMALITY detected by mammography or ultrasound where guidewire or other localisation procedure is performed, excision biopsy of

(Anaes.) (Assist.)

Fee: $412.40 Benefit: 75% = $309.30

(See para TN.8.25 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

31509

31509 - Additional Information

Item Start Date:
01-Nov-2002
Description Updated:
01-May-2003
Schedule Fee Updated:
01-Jul-2022

BREAST, MALIGNANT TUMOUR, open surgical biopsy of, with or without frozen section histology

(Anaes.)

Fee: $366.55 Benefit: 75% = $274.95 85% = $311.60

(See para TN.8.25 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

31515

31515 - Additional Information

Item Start Date:
01-Nov-2002
Description Updated:
01-May-2003
Schedule Fee Updated:
01-Jul-2022

BREAST, TUMOUR SITE, re-excision of following open biopsy or incomplete excision of malignant tumour

(Anaes.) (Assist.)

Fee: $461.10 Benefit: 75% = $345.85

(See para TN.8.25 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