Medicare Benefits Schedule - Note TN.8.284

Item 46363, for trigger finger release, should not be claimed in addition to any of items 46348, 46351, 46354, 46357, 46360, or 46498 where it is performed on one of the same rays as those procedures.

Related Items: 46348 46351 46354 46357 46360 46363 46498

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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

Trigger finger release, for stenosing tenosynovitis, including either or both of the following (if performed):

(a) synovectomy;

(b) synovial biopsy;

—one ray

(Anaes.) (Assist.)

Fee: $231.75 Benefit: 75% = $173.85 85% = $197.00

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

Multiple Operation Rule

Excision of ganglion of flexor tendon sheath of hand, including any of the following (if performed):

(a) flexor tenosynovectomy;

(b) sheath excision;

(c) skin closure by any method;

other than a service associated with:

(d) a service to which item 30107 applies; or

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

(Anaes.) (Assist.)

Fee: $242.05 Benefit: 75% = $181.55 85% = $205.75

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