Medicare Benefits Schedule - Note TN.8.9

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.9

Treatment of Keratoses, Warts etc (Items 30187, 30189, 30192 and 36815)

Treatment of seborrheic keratoses by any means, attracts benefits on an attendance basis only. 

Treatment of fewer than 10 solar keratoses by ablative techniques such as cryotherapy attracts benefits on an attendance basis only. Where 10 or more solar keratoses are treated by ablative techniques, benefits are payable under item 30192. 

Warts and molluscum contagiosum where treated by any means attract benefits on an attendance basis except where:

(a)              admission for treatment in an operating theatre of an accredited day surgery facility or hospital is required. In this circumstance, benefits are paid under item 30189 where a definitive removal of the wart or molluscum contagiosum is to be undertaken.

(b)              benefits have been paid under item 30189, and recurrence occurs.

(c)              palmar and plantar warts are treated by laser and require treatment in an operating theatre of an accredited day surgery facility or hospital. In this circumstance, benefits are paid under item 30187. 

 

Related Items: 30187 30189 30192 36815


Related Items

Category 3 - THERAPEUTIC PROCEDURES

30187

30187 - Additional Information

Item Start Date:
01-Nov-1995
Description Updated:
01-May-2001
Schedule Fee Updated:
01-Jul-2021

PALMAR OR PLANTAR WARTS, removal of, by carbon dioxide laser or erbium laser, requiring admission to a hospital, or when performed by a specialist in the practice of his/her specialty, (5 or more warts)

(Anaes.)

Fee: $267.35 Benefit: 75% = $200.55 85% = $227.25

(See para TN.8.9 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

30189

30189 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jan-2015
Schedule Fee Updated:
01-Jul-2021

WARTS or MOLLUSCUM CONTAGIOSUM (one or more), removal of, by any method (other than by chemical means), where undertaken in the operating theatre of a hospital, not being a service associated with a service to which another item in this Group applies (H)

(Anaes.)

Fee: $153.25 Benefit: 75% = $114.95

(See para TN.8.9 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

30192

30192 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Nov-2003
Schedule Fee Updated:
01-Jul-2021

PREMALIGNANT SKIN LESIONS (including solar keratoses), treatment of, by ablative technique (10 or more lesions)

(Anaes.)

Fee: $41.15 Benefit: 75% = $30.90 85% = $35.00

(See para TN.8.9 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

36815

36815 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Dec-1991
Schedule Fee Updated:
01-Jul-2021

CYSTOSCOPY, with or without urethroscopy, for the treatment of penile warts or uretheral warts, not being a service associated with a service to which item 30189 applies

(Anaes.)

Fee: $247.55 Benefit: 75% = $185.70 85% = $210.45

(See para TN.8.9 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