Medicare Benefits Schedule - Note TN.8.283

Items 39303, 39309-39315, 39329-39345, 46335, 46339-46341, 46348-46360, 46364, 46387, 46390-46395, 46408, 46414, 46423, 46434, 46450, 46453, 46522, 46525, 49717, 49740, 49744, 49771-49776, 49782, 49866, 49881-49890 all include the phrase "other than a service associated with a service to which item 30023 applies that is performed at the same site".

This indicates that an additional benefit is not payable for debridement of a soft tissue wound under item 30023 where it is performed at the same site on the same occasion.

These procedures are considered to be performed at the same site as the wound debridement (item 30023) where:

• Any incision for the orthopaedic or neurosurgical procedures involves the wound that is debrided.
• Debridement of the wound is required as part of the surgical approach and is considered an inherent part of the orthopaedic or neurosurgical procedure.

Related Items: 30023 39303 39309 39312 39315 39329 39330 39331 39332 39336 39339 39342 39345 46335 46339 46340 46341 46348 46351 46354 46357 46360 46364 46387 46390 46393 46394 46395 46408 46414 46423 46434 46450 46453 46522 46525 49717 49740 49744 49771 49773 49774 49775 49776 49782 49866 49881 49884 49887 49890

• Previous - Note TN.8.282
• Next - Note TN.8.284

Multiple Operation Rule

Synovectomy of digital extensor tendons of hand, distal to wrist, for diagnosed inflammatory arthritis, including any of the following (if performed):

(a) reconstruction of extensor retinaculum;

(b) removal of tendon nodules;

(c) tenolysis;

(d) tenoplasty;

other than a service associated with:

(e) a service to which item 39330 applies; or

(f) a service to which item 30023 applies that is performed at the same site

Applicable once per hand per occasion on which the service is performed

(Anaes.) (Assist.)

Fee: $513.15 Benefit: 75% = $384.90 85% = $436.20

(See para TN.8.184, TN.8.185, TN.8.190, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Synovectomy of digital flexor tendons at wrist level, for diagnosed inflammatory arthritis, including either or both of the following (if performed):

(a) tenolysis;

(b) release of median nerve and carpal tunnel;

other than a service associated with:

(c) a service to which item 39330 or 39331 applies; or

(d) a service to which item 30023 applies that is performed at the same site

Applicable once per wrist per occasion on which the service is performed (H)

(Anaes.) (Assist.)

Fee: $513.15 Benefit: 75% = $384.90

(See para TN.8.185, TN.8.190, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Synovectomy of wrist flexor or extensor tendons of hand or wrist, for diagnosed inflammatory tenosynovitis, including any of the following (if performed):

(a) reconstruction of flexor or extensor retinaculum;

(b) removal of tendon nodules;

(c) tenolysis;

(d) tenoplasty;

other than a service associated with:

(e) a service to which item 39330 applies; or

(f) if this service is performed on the wrist flexor tendons—a service to which item 39331 applies; or

(g) a service to which item 30023 applies that is performed at the same site

—one or more compartments per limb (H)

(Anaes.) (Assist.)

Fee: $436.20 Benefit: 75% = $327.15

(See para TN.8.184, TN.8.185, TN.8.190, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Synovectomy of wrist flexor or extensor tendons of hand or wrist, for non-inflammatory tenosynovitis or post traumatic synovitis, including any of the following (if performed):

(a) reconstruction of flexor or extensor retinaculum;

(b) removal of tendon nodules;

(c) tenolysis;

(d) tenoplasty;

other than a service associated with:

(e) a service to which item 39330 applies; or

(f) if this service is performed on the wrist flexor tendons—a service to which item 39331 applies; or

(g) a service to which item 30023 applies that is performed at the same site

—one or more compartments per limb (H)

(Anaes.) (Assist.)

Fee: $279.75 Benefit: 75% = $209.85

(See para TN.8.185, TN.8.190, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed):

(a) removal of intratendinous nodules;

(b) tenolysis;

(c) tenoplasty;

other than a service associated with:

(d) a service to which item 30023 applies that is performed at the same site; or

(e) a service to which item 46363 applies that is performed on the same ray

—one ray (H)

(Anaes.) (Assist.)

Fee: $269.05 Benefit: 75% = $201.80

(See para TN.8.190, TN.8.283, TN.8.284 of explanatory notes to this Category)

Multiple Operation Rule

Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed):

(a) removal of intratendinous nodules;

(b) tenolysis;

(c) tenoplasty;

other than a service associated with:

(d) a service to which item 30023 applies that is performed at the same site; or

(e) a service to which item 46363 applies that is performed on one of the same rays

—2 rays of one hand (H)

(Anaes.) (Assist.)

Fee: $401.55 Benefit: 75% = $301.20

(See para TN.8.190, TN.8.283, TN.8.284 of explanatory notes to this Category)

Multiple Operation Rule

Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed):

(a) removal of intratendinous nodules;

(b) tenolysis;

(c) tenoplasty;

other than a service associated with:

(d) a service to which item 30023 applies that is performed at the same site; or

(e) a service to which item 46363 applies that is performed on one of the same rays

—3 rays of one hand (H)

(Anaes.) (Assist.)

Fee: $538.10 Benefit: 75% = $403.60

(See para TN.8.190, TN.8.283, TN.8.284 of explanatory notes to this Category)

Multiple Operation Rule

Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed):

(a) removal of intratendinous nodules;

(b) tenolysis;

(c) tenoplasty;

other than a service associated with:

(d) a service to which item 30023 applies that is performed at the same site; or

(e) a service to which item 46363 applies that is performed on one of the same rays

—4 rays of one hand (H)

(Anaes.) (Assist.)

Fee: $670.60 Benefit: 75% = $502.95

(See para TN.8.190, TN.8.283, TN.8.284 of explanatory notes to this Category)

Multiple Operation Rule

Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed):

(a) removal of intratendinous nodules;

(b) tenolysis;

(c) tenoplasty;

other than a service associated with:

(d) a service to which item 30023 applies that is performed at the same site; or

(e) a service to which item 46363 applies that is performed on one of the same rays

—5 rays of one hand (H)

(Anaes.) (Assist.)

Fee: $807.20 Benefit: 75% = $605.40

(See para TN.8.190, TN.8.283, TN.8.284 of explanatory notes to this Category)

Multiple Operation Rule

Digital sympathectomy of hand, using microsurgical techniques, other than a service associated with:

(a) a service to which item 46363 applies; or

(b) a service to which item 30023 applies that is performed at the same site

—one digit or palmer arch (or both) or radial or ulnar artery (or both)

(Anaes.) (Assist.)

Fee: $513.15 Benefit: 75% = $384.90 85% = $436.20

(See para TN.8.190, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Fasciectomy for recurrence of Dupuytren’s contracture, including either or both of the following (if performed):

(a) dissection of nerves;

(b) neurolysis;

other than a service associated with a service to which item 30023 applies that is performed at the same site—one ray (H)

(Anaes.) (Assist.)

Fee: $683.10 Benefit: 75% = $512.35

(See para TN.8.190, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Fasciectomy for recurrence of Dupuytren’s contracture, including either or both of the following (if performed):

(a) dissection of nerves;

(b) neurolysis;

other than a service associated with a service to which item 30023 applies that is performed at the same site—2 rays (H)

(Anaes.) (Assist.)

Fee: $910.90 Benefit: 75% = $683.20

(See para TN.8.190, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Fasciectomy for recurrence of Dupuytren’s contracture, including either or both of the following (if performed):

(a) dissection of nerves;

(b) neurolysis;

other than a service associated with a service to which item 30023 applies that is performed at the same site—3 rays (H)

(Anaes.) (Assist.)

Fee: $1,055.55 Benefit: 75% = $791.70

(See para TN.8.190, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Fasciectomy for recurrence of Dupuytren’s contracture, including either or both of the following (if performed):

(a) dissection of nerves;

(b) neurolysis;

other than a service associated with a service to which item 30023 applies that is performed at the same site—4 rays (H)

(Anaes.) (Assist.)

Fee: $1,315.40 Benefit: 75% = $986.55

(See para TN.8.190, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Fasciectomy for recurrence of Dupuytren’s contracture, including either or both of the following (if performed):

(a) dissection of nerves;

(b) neurolysis;

other than a service associated with a service to which item 30023 applies that is performed at the same site—5 rays (H)

(Anaes.) (Assist.)

Fee: $1,639.20 Benefit: 75% = $1,229.40

(See para TN.8.190, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Reconstruction of tendon of hand or wrist, by tendon graft, including either or both of the following (if performed):

(a) harvest of graft;

(b) tenolysis;

other than a service associated with a service to which item 30023 applies that is performed at the same site (H)

(Anaes.) (Assist.)

Fee: $761.65 Benefit: 75% = $571.25

(See para TN.8.190, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Insertion of artificial tendon prosthesis in preparation for grafting of tendon of hand or wrist, including tenolysis (if performed), other than a service associated with a service to which item 30023 applies that is performed at the same site

(Anaes.) (Assist.)

Fee: $579.40 Benefit: 75% = $434.55 85% = $492.50

(See para TN.8.190, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Delayed repair of extensor tendon of hand or wrist, including tenolysis (if performed), other than a service associated with a service to which item 30023 applies that is performed at the same site

(Anaes.) (Assist.)

Fee: $360.15 Benefit: 75% = $270.15 85% = $306.15

(See para TN.8.190, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Delayed repair of flexor tendon of hand or wrist, including tenolysis (if performed), other than a service associated with a service to which item 30023 applies that is performed at the same site

(Anaes.) (Assist.)

Fee: $535.05 Benefit: 75% = $401.30 85% = $454.80

(See para TN.8.190, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Tenolysis of extensor tendon of hand or wrist, following tendon injury or graft, other than a service:

(a) for acute, traumatic injury; or

(b) associated with a service to which item 30023 applies that is performed at the same site;

—one ray (H)

(Anaes.)

Fee: $248.45 Benefit: 75% = $186.35

(See para TN.8.190, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Tenolysis of flexor tendon of hand or wrist, following tendon injury, repair or graft, other than a service:

(a) for acute, traumatic injury; or

(b) associated with a service to which item 30023 applies that is performed at the same site

(H)

(Anaes.) (Assist.)

Fee: $413.95 Benefit: 75% = $310.50

(See para TN.8.190, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Open operation and drainage of infection for flexor tendon sheath of finger or thumb, including either or both of the following (if performed):

(a) synovectomy;

(b) tenolysis;

other than a service associated with a service to which item 30023 applies that is performed at the same site—one digit (H)

(Anaes.) (Assist.)

Fee: $463.60 Benefit: 75% = $347.70

(See para TN.8.190, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Incision for pulp space infection of hand:

(a) other than a service:

(i) to which another item in this Group applies; or

(ii) associated with a service to which item 30023 applies that is performed at the same site; and

(b) excluding aftercare

(H)

(Anaes.)

Fee: $62.15 Benefit: 75% = $46.65

(See para TN.8.190, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Revision of total ankle replacement:

(a) including either:

(i) exchange of tibial and talar components; or

(ii) removal of tibial and talar components and conversion to ankle arthrodesis; and

(b) including both of the following

(iii) internal or external fixation, by any means;

(iv) major bone grafting; and

(c) including any of the following (if performed):

(i) capsulotomy;

(ii) joint release;

(iii) neurolysis;

(iv) debridement and extensive grafting of cysts;

(v) synovectomy;

(vi) joint debridement;

other than a service associated with a service to which item 30023, 48245, 48248, 48251, 48254 or 48257 applies that is performed at the same site (H)

(Anaes.) (Assist.)

Fee: $1,969.55 Benefit: 75% = $1,477.20

(See para TN.8.199, TN.8.201, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Revision of arthrodesis of ankle, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed):

(a) capsulotomy;

(b) joint release;

(c) synovectomy;

(d) removal of osteophytes at joint;

(e) removal of hardware;

(f) neurolysis;

(g) osteotomy of non-union or malunion;

other than a service associated with a service to which item 30023 applies that is performed at the same site

(H)

(Anaes.) (Assist.)

Fee: $1,554.50 Benefit: 75% = $1,165.90

(See para TN.8.199, TN.8.200, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Revision of arthrodesis of extended ankle and hindfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed):

(a) capsulotomy;

(b) joint release;

(c) synovectomy;

(d) removal of osteophytes at joint;

(e) removal of hardware;

(f) neurolysis;

(g) osteotomy of non-union or malunion;

other than a service associated with a service to which item 30023 applies that is performed at the same site

(H)

(Anaes.) (Assist.)

Fee: $2,201.20 Benefit: 75% = $1,650.90

(See para TN.8.199, TN.8.200, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Synovectomy of major tendon of ankle, for extensive synovitis by any method, including any of the following (if performed):

(a) tenolysis;

(b) debridement of ligament or tendon (or both);

(c) release of ligament or tendon (or both);

(d) excision of tubercule or osteophyte;

(e) reconstruction of tendon retinaculum;

(f) neurolysis;

other than a service associated with a service to which item 30023 applies that is performed at the same site—each incision (H)

(Anaes.) (Assist.)

Fee: $408.95 Benefit: 75% = $306.75

(See para TN.8.199, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Revision of total ankle replacement, including:

(a) bone grafting of perioperative cysts to the tibia or talus (or both); and

(b) retention of implants; and

(c) any of the following (if performed):

(i) capsulotomy;

(ii) joint release;

(iii) neurolysis;

(iv) debridement and grafting of cysts;

(v) synovectomy;

(vi) joint debridement;

other than a service associated with a service to which item 30023 applies that is performed at the same site (H)

(Anaes.) (Assist.)

Fee: $622.35 Benefit: 75% = $466.80

(See para TN.8.199, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Complete excision of one or more ganglia or bursae:

(a) including excision of bony prominence or mucinous cyst of ankle, hindoot or midfoot joint and surrounding tissues; and

(b) including any of the following (if performed):

(i) arthrotomy;

(ii) synovectomy;

(iii) osteophyte resections;

(iv) neurolysis;

(v) capsular or ligament repair;

(vi) skin closure, by any method;

other than a service associated with a service to which item 30023 applies that is performed at the same site—each incision (H)

(Anaes.) (Assist.)

Fee: $408.95 Benefit: 75% = $306.75

(See para TN.8.199, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Revision of complete excision of one or more ganglia or bursae:

(a) including excision of bony prominence or mucinous cyst of ankle, hindfoot or midfoot joint and surrounding tissues; and

(b) including any of the following (if performed):

(i) arthrotomy;

(ii) synovectomy;

(iii) osteophyte resections;

(iv) neurolysis;

(v) capsular or ligament repair;

(vi) skin closure, by any method;

other than a service associated with:

(c) a service to which item 49884 applies; or

(d) a service to which item 30023 applies that is performed at the same site

—each incision (H)

(Anaes.) (Assist.)

Fee: $552.00 Benefit: 75% = $414.00

(See para TN.8.199, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Revision of excision of intermetatarsal or digital neuroma, including any of the following (if performed):

(a) release of tissues;

(b) excision of bursae;

(c) neurolysis;

other than a service associated with a service to which item 30023 applies that is performed at the same site—one web space (H)

(Anaes.) (Assist.)

Fee: $447.30 Benefit: 75% = $335.50

(See para TN.8.199, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Release of tarsal tunnel, including any of the following (if performed):

(a) release of ligaments;

(b) synovectomy;

(c) neurolysis;

other than a service associated with a service to which item 30023 applies that is performed at the same site—one foot (H)

(Anaes.) (Assist.)

Fee: $304.65 Benefit: 75% = $228.50

(See para TN.8.199, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Revision of release of tarsal tunnel, including any of the following (if performed):

(a) release of ligaments;

(b) synovectomy;

(c) neurolysis;

other than a service associated with a service to which item 30023 applies that is performed at the same site—one foot (H)

(Anaes.) (Assist.)

Fee: $411.30 Benefit: 75% = $308.50

(See para TN.8.199, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Revision of arthrodesis of joint of hindfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed):

(a) capsulotomy;

(b) joint release;

(c) synovectomy;

(d) removal of osteophytes at joint;

(e) removal of hardware;

(f) neurolysis;

(g) osteotomy of non‑union or malunion;

other than a service associated with a service to which item 30023 applies that is performed at the same site—may only be claimed once per joint (H)

(Anaes.) (Assist.)

Fee: $1,293.75 Benefit: 75% = $970.35

(See para TN.8.199, TN.8.200, TN.8.224, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Excision of intermetatarsal or digital neuroma, including any of the following (if performed):

(a) release of metatarsal or digital ligament;

(b) excision of bursae;

(c) neurolysis;

other than a service associated with a service to which item 30023 applies that is performed at the same site—one web space (H)

(Anaes.) (Assist.)

Fee: $331.35 Benefit: 75% = $248.55

(See para TN.8.199, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Complete excision of one or more ganglia or bursae:

(a) including excision of bony prominence or mucinous cyst of interphalangeal or metatarsophalangeal joint and surrounding tissues; and

(b) including any of the following (if performed):

(i) arthrotomy;

(ii) synovectomy;

(iii) osteophyte resections;

(iv) neurolysis;

(v) skin closure, by any local method;

other than a service associated with a service to which item 30023 applies that is performed at the same site—each incision (H)

(Anaes.) (Assist.)

Fee: $242.05 Benefit: 75% = $181.55

(See para TN.8.199, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Revision of complete excision of one or more ganglia or bursae:

(a) including excision of bony prominence or mucinous cyst of interphalangeal or metatarsophalangeal joint and surrounding tissues; and

(b) including any of the following (if performed):

(i) arthrotomy;

(ii) synovectomy;

(iii) osteophyte resections;

(iv) neurolysis;

(v) skin closure, by any method;

other than a service associated with:

(c) a service to which item 49881 applies; or

(d) a service to which item 30023 applies that is performed at the same site

—each incision (H)

(Anaes.) (Assist.)

Fee: $326.90 Benefit: 75% = $245.20

(See para TN.8.199, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

WOUND OF SOFT TISSUE, traumatic, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field nerve block, including suturing of that wound when performed

(Anaes.) (Assist.)

Fee: $358.90 Benefit: 75% = $269.20 85% = $305.10

(See para TN.8.6, TN.8.200, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Nerve, digital or cutaneous, delayed repair of, using microsurgical techniques, including either or both of the following (if performed):

(a) neurolysis;

(b) transposition of nerve to facilitate repair;

other than a service associated with a service to which item 30023 applies that is performed at the same site—applicable once per nerve (H)

(Anaes.) (Assist.)

Fee: $513.05 Benefit: 75% = $384.80

(See para TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Nerve trunk, delayed repair of, using microsurgical techniques, including either or both of the following (if performed):

(a) neurolysis;

(b) transposition of nerve or nerve transfer to facilitate repair;

other than a service associated with:

(c) a service to which item 39321 applies; or

(d) a service to which item 30023 applies that is performed at the same site

(H)

(Anaes.) (Assist.)

Fee: $786.35 Benefit: 75% = $589.80

(See para TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Nerve trunk, internal (interfascicular), neurolysis of, using microsurgical techniques, other than a service associated with a service to which item 30023 applies that is performed at the same site (H)

(Anaes.) (Assist.)

Fee: $438.70 Benefit: 75% = $329.05

(See para TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Nerve trunk, nerve graft to, by cable graft, using microsurgical techniques, including any of the following (if performed):

(a) harvesting of nerve graft;

(b) proximal and distal anastomosis of nerve graft;

(c) transposition of nerve to facilitate grafting;

(d) neurolysis;

other than a service associated with:

(e) a service to which item 39330 applies; or

(f) a service to which item 30023 applies that is performed at the same site

(H)

(Anaes.) (Assist.)

Fee: $1,133.95 Benefit: 75% = $850.50

(See para TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Extensive neurolysis of radial, median or ulnar nerve trunk nerve in the forearm or arm, other than a service associated with:

(a) a service to which item 39303, 39309, 39312, 39315, 39318, 39324 or 39327 applies; or

(b) a service to which item 30023 applies that is performed at the same site

(Anaes.) (Assist.)

Fee: $389.00 Benefit: 75% = $291.75 85% = $330.65

(See para TN.8.186, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Neurolysis by open operation without transposition, other than a service associated with:

(a) a service to which item 39321, 39328, 39329, 39332, 39336, 39339, 39342, 39345, 49774 or 49775 applies; or

(b) a service to which item 30023 applies that is performed at the same site

(H)

(Anaes.) (Assist.)

Fee: $304.65 Benefit: 75% = $228.50

(See para TN.8.196, TN.8.200, TN.8.254, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Carpal tunnel release, including division of transverse carpal ligament or release of median nerve, by any method, including either or both of the following (if performed):

(a) synovectomy;

(b) neurolysis;

other than a service associated with:

(c) a service to which item 46339 applies; or

(d) a service to which item 30023 applies that is performed at the same site

(Anaes.) (Assist.)

Fee: $304.65 Benefit: 75% = $228.50 85% = $259.00

(See para TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Revision of carpal tunnel release, including division of transverse carpal ligament or release of median nerve, by any method, including either or both of the following (if performed):

(a) synovectomy;

(b) neurolysis;

other than a service associated with:

(c) a service to which item 46339 applies; or

(d) a service to which item 30023 applies that is performed at the same site

(Anaes.) (Assist.)

Fee: $457.00 Benefit: 75% = $342.75 85% = $388.45

(See para TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Ulnar nerve decompression at elbow or wrist (cubital tunnel or Guyon’s canal) without transposition, by any method, including neurolysis (if performed), other than a service associated with a service to which item 30023 applies that is performed at the same site

(Anaes.) (Assist.)

Fee: $304.65 Benefit: 75% = $228.50 85% = $259.00

(See para TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Revision of ulnar nerve decompression at elbow (cubital tunnel) without transposition, by any method, including neurolysis (if performed), other than a service associated with a service to which item 30023 applies that is performed at the same site

(Anaes.) (Assist.)

Fee: $457.00 Benefit: 75% = $342.75 85% = $388.45

(See para TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Ulnar nerve decompression at elbow (cubital tunnel), including any of the following (if performed):

(a) associated transposition;

(b) subcutaneous or submuscular transposition of the nerve;

(c) medial epicondylectomy;

(d) ostetomy and reconstruction of the flexor origin;

(e) neurolysis;

other than a service associated with a service to which item 30023 applies that is performed at the same site

(Anaes.) (Assist.)

Fee: $599.55 Benefit: 75% = $449.70 85% = $509.65

(See para TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Localised decompression of radial, median or ulnar nerve, or branches of, in the forearm for compressive neuropathy, including neurolysis (if performed), other than a service associated with a service to which item 30023 applies that is performed at the same site

(Anaes.) (Assist.)

Fee: $304.65 Benefit: 75% = $228.50 85% = $259.00

(See para TN.8.186, TN.8.283 of explanatory notes to this Category)