Medicare Benefits Schedule - Note TN.8.270

Items 46174 and 46175 may be used as a standalone item or in conjunction with items 46177 to 46185.

Item 46176 may be used as a standalone item or in conjunction with items 46170 to 46173.

For items 46177, 46178 and 46179, an example of “single cord or trunk” is the upper trunk. These items should not be used for reconstruction of peripheral nerves.

For items 46177 to 46185, examples of appropriate methods of reconstruction include nerve grafts, vascularised nerve conduit and nerve transfers.

Related Items: 46170 46171 46172 46173 46174 46175 46176 46177 46178 46179 46180 46181 46182 46183 46184 46185

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Multiple Operation Rule

Decompression of thoracic outlet, primary, for thoracic outlet syndrome, using any approach, including (if performed) division of scalene muscles, cervical rib and/or first rib resection (H)

(Anaes.) (Assist.)

Fee: $1,100.75 Benefit: 75% = $825.60

(See para TN.8.270 of explanatory notes to this Category)

Multiple Operation Rule

Decompression of thoracic outlet, repeat (revision) procedure, for thoracic outlet syndrome, using any approach, including (if performed) division of scalene muscles, cervical rib and/or first rib resection (H)

(Anaes.) (Assist.)

Fee: $1,871.20 Benefit: 75% = $1,403.40

(See para TN.8.270 of explanatory notes to this Category)

Multiple Operation Rule

Removal or debulking of brachial plexus tumour, involving intraneural dissection, either supraclavicular or infraclavicular dissection (H)

(Anaes.) (Assist.)

Fee: $2,751.75 Benefit: 75% = $2,063.85

(See para TN.8.270 of explanatory notes to this Category)

Multiple Operation Rule

Removal or debulking of brachial plexus tumour, involving intraneural dissection, both supraclavicular and infraclavicular dissection (H)

(Anaes.) (Assist.)

Fee: $3,852.45 Benefit: 75% = $2,889.35

(See para TN.8.270 of explanatory notes to this Category)

Multiple Operation Rule

Exploration of the brachial plexus, either supraclavicular or infraclavicular, including any neurolyses performed and intraoperative neurophysiological recordings, but excluding reconstruction of elements
(H)

(Anaes.) (Assist.)

Fee: $2,751.75 Benefit: 75% = $2,063.85

(See para TN.8.270 of explanatory notes to this Category)

Multiple Operation Rule

Exploration of the brachial plexus, both supraclavicular and infraclavicular, including any neurolyses performed and intraoperative neurophysiological recordings, but excluding reconstruction of elements
(H)

(Anaes.) (Assist.)

Fee: $4,402.80 Benefit: 75% = $3,302.10

(See para TN.8.270 of explanatory notes to this Category)

Multiple Operation Rule

Exploration of the brachial plexus, posterior subscapular approach, all necessary elements of the operation including (but not limited to):
(a) resection of the first rib and/or second rib; and
(b) vertebral laminectomies or facetectomies, if performed; and
(c) any neurolyses performed; and
(d) intraoperative neurophysiological recordings;
excluding the following:
(e) reconstruction of elements of the plexus;
(f) spinal instrumentation
(H)

(Anaes.) (Assist.)

Fee: $1,100.75 Benefit: 75% = $825.60

(See para TN.8.270 of explanatory notes to this Category)

Multiple Operation Rule

Reconstruction of deficit of the brachial plexus, single cord or trunk, by any appropriate method, single surgeon (H)

(Anaes.) (Assist.)

Fee: $1,871.20 Benefit: 75% = $1,403.40

(See para TN.8.270 of explanatory notes to this Category)

Multiple Operation Rule

Reconstruction of deficit of the brachial plexus, single cord or trunk, by any appropriate method, conjoint surgery, principal surgeon (H)

(Anaes.) (Assist.)

Fee: $1,871.20 Benefit: 75% = $1,403.40

(See para TN.8.270 of explanatory notes to this Category)

Multiple Operation Rule

Reconstruction of deficit of the brachial plexus, single cord or trunk, by any appropriate method, conjoint surgery, conjoint surgeon (H)

(Anaes.) (Assist.)

Fee: $1,557.50 Benefit: 75% = $1,168.15

(See para TN.8.270 of explanatory notes to this Category)

Multiple Operation Rule

Reconstruction of deficit of the brachial plexus, more than a single cord or trunk, but less than the whole plexus, by any appropriate method, single surgeon (H)

(Anaes.) (Assist.)

Fee: $2,751.75 Benefit: 75% = $2,063.85

(See para TN.8.270 of explanatory notes to this Category)

Multiple Operation Rule

Reconstruction of deficit of the brachial plexus, more than a single cord or trunk, but less than the whole plexus, by any appropriate method, conjoint surgery, principal surgeon (H)

(Anaes.) (Assist.)

Fee: $2,751.75 Benefit: 75% = $2,063.85

(See para TN.8.270 of explanatory notes to this Category)

Multiple Operation Rule

Reconstruction of deficit of the brachial plexus, more than a single cord or trunk, but less than the whole plexus, by any appropriate method, conjoint surgery, conjoint surgeon (H)

(Anaes.) (Assist.)

Fee: $2,294.95 Benefit: 75% = $1,721.25

(See para TN.8.270 of explanatory notes to this Category)

Multiple Operation Rule

Reconstruction of deficit of the brachial plexus, whole plexus, by any appropriate method, single surgeon (H)

(Anaes.) (Assist.)

Fee: $3,302.10 Benefit: 75% = $2,476.60

(See para TN.8.270 of explanatory notes to this Category)

Multiple Operation Rule

Reconstruction of deficit of the brachial plexus, whole plexus, by any appropriate method, conjoint surgery, principal surgeon (H)

(Anaes.) (Assist.)

Fee: $3,302.10 Benefit: 75% = $2,476.60

(See para TN.8.270 of explanatory notes to this Category)

Multiple Operation Rule

Reconstruction of deficit of the brachial plexus, whole plexus, by any appropriate method, conjoint surgery, conjoint surgeon (H)

(Anaes.) (Assist.)

Fee: $2,751.75 Benefit: 75% = $2,063.85

(See para TN.8.270 of explanatory notes to this Category)