Medicare Benefits Schedule - Note TN.8.254

Exposure of the facial nerve and the great auricular nerve with or without mobilisation are considered integral parts of parotid gland surgery and hence part of the complete procedure for items 30247, 30250, 30251 and 30253. As such, co-claiming of items 39321, 39324, 39327, 39330 is not appropriate.

Related Items: 30247 30250 30251 30253 39321 39324 39327 39330

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Multiple Operation Rule

Parotid gland, total extirpation of, including removal of tumour, other than a service associated with a service to which item 39321, 39324, 39327 or 39330 applies (H)

(Anaes.) (Assist.)

Fee: $781.60 Benefit: 75% = $586.20

(See para TN.8.254 of explanatory notes to this Category)

Multiple Operation Rule

Parotid gland, total extirpation of, with preservation of facial nerve, including:

(a) removal of tumour; and

(b) exposure or mobilisation of facial nerve;

other than a service associated with a service to which item 39321, 39324, 39327 or 39330 applies (H)

(Anaes.) (Assist.)

Fee: $1,322.60 Benefit: 75% = $991.95

(See para TN.8.254 of explanatory notes to this Category)

Multiple Operation Rule

Recurrent parotid tumour, excision of, with preservation of facial nerve, including:

(a) removal of tumour; and

(b) exposure or mobilisation of facial nerve;

other than a service associated with a service to which item 39321, 39324, 39327 or 39330 applies (H)

(Anaes.) (Assist.)

Fee: $2,031.65 Benefit: 75% = $1,523.75

(See para TN.8.254 of explanatory notes to this Category)

Multiple Operation Rule

Parotid gland, superficial lobectomy of, with exposure of facial nerve, including:

(a) removal of tumour; and

(b) exposure or mobilisation of facial nerve;

other than a service associated with a service to which item 39321, 39324, 39327 or 39330 applies (H)

(Anaes.) (Assist.)

Fee: $881.75 Benefit: 75% = $661.35

(See para TN.8.254 of explanatory notes to this Category)

Multiple Operation Rule

Transposition of nerve, excluding the ulnar nerve at the elbow, other than a service associated with a service to which item 39330 applies (H)

(Anaes.) (Assist.)

Fee: $500.75 Benefit: 75% = $375.60

(See para TN.8.189, TN.8.254 of explanatory notes to this Category)

Multiple Operation Rule

Neurectomy or removal of tumour or neuroma from superficial peripheral nerve

(Anaes.) (Assist.)

Fee: $292.60 Benefit: 75% = $219.45 85% = $248.75

(See para TN.8.4, TN.8.254 of explanatory notes to this Category)

Multiple Operation Rule

NEURECTOMY, NEUROTOMY or removal of tumour from deep peripheral or cranial nerve, by open operation, not being a service to which item 41575, 41576, 41578 or 41579 applies

(Anaes.) (Assist.)

Fee: $500.85 Benefit: 75% = $375.65

(See para TN.8.4, TN.8.254 of explanatory notes to this Category)

Multiple Operation Rule

Neurolysis by open operation without transposition, other than a service associated with a service to which item 30023, 39321, 39328, 39329, 39332, 39336, 39339, 39342, 39345, 49774 or 49775 applies (H)

(Anaes.) (Assist.)

Fee: $292.60 Benefit: 75% = $219.45

(See para TN.8.196, TN.8.200, TN.8.254 of explanatory notes to this Category)