Results 1 to 10 of 25 matches
Category 3 - THERAPEUTIC PROCEDURES
Category 3 - THERAPEUTIC PROCEDURES
Category 3 - THERAPEUTIC PROCEDURES
30166 - Additional Information
Removal of redundant abdominal skin and lipectomy, as a wedge excision, for functional problems following significant weight loss equivalent to at least 5 body mass index points and if there has been a stable weight for a period of at least 6 months prior to surgery, other than a service associated with a service to which item 30175, 30176, 30177, 45530, 45531, 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070, 46072, 46080, 46082, 46084, 46086, 46088 or 46090 applies (H)
(Anaes.) (Assist.)
Fee: $825.55 Benefit: 75% = $619.20
(See para TN.8.8, TN.8.97 of explanatory notes to this Category)
Category 3 - THERAPEUTIC PROCEDURES
30175 - Additional Information
Radical abdominoplasty, with repair of rectus diastasis, excision of skin and subcutaneous tissue, and transposition of umbilicus, not being a laparoscopic procedure, if:
(a) the patient has an abdominal wall defect as a consequence of pregnancy; and
(b) the patient:
(i) has a diastasis of at least 3cm measured by diagnostic imaging prior to this service; and
(ii) has either or both of the following:
(A) at least moderately severe pain or discomfort at the site of the diastasis in the abdominal wall during functional use and the pain or discomfort has been documented in the patient’s records by the practitioner providing the service;
(B) low back pain or urinary symptoms likely due to rectus diastasis and the pain or symptoms have been documented in the patient’s records by the practitioner providing the service; and
(iii) has failed to respond to non-surgical conservative treatment, that must have included physiotherapy; and
(iv) has not been pregnant in the last 12 months; and
(c) the service is not a service associated with a service to which item 30166, 30169, 30176, 30177, 30179, 30651, 30655, 45530, 45531, 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070, 46072, 46080, 46082, 46084, 46086, 46088 or 46090 applies
Applicable once per lifetime (H)
(Anaes.) (Assist.)
Fee: $1,067.80 Benefit: 75% = $800.85
(See para TN.8.8, TN.8.97, TN.8.276 of explanatory notes to this Category)
Category 3 - THERAPEUTIC PROCEDURES
30176 - Additional Information
Radical abdominoplasty, with excision of skin and subcutaneous tissue, repair of musculoaponeurotic layer and transposition of umbilicus, not being a service associated with a service to which item 30166, 30169, 30175, 30177, 30179, 45530, 45531, 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070 or 46072 applies, if the patient has previously had a massive intra-abdominal or pelvic tumour surgically removed (H)
(Anaes.) (Assist.)
Fee: $1,084.90 Benefit: 75% = $813.70
(See para TN.8.97 of explanatory notes to this Category)
Category 3 - THERAPEUTIC PROCEDURES
30177 - Additional Information
Lipectomy, excision of skin and subcutaneous tissue associated with redundant abdominal skin and fat that is a direct consequence of significant weight loss, in conjunction with a radical abdominoplasty, with or without repair of musculoaponeurotic layer and transposition of umbilicus, not being a service associated with a service to which item 30166, 30175, 30176, 30179, 45530, 45531, 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070, 46072, 46080, 46082, 46084, 46086, 46088 or 46090 applies, if:
(a) there is intertrigo or another skin condition that risks loss of skin integrity and has failed 3 months of conventional (or non-surgical) treatment; and
(b) the redundant skin and fat interferes with the activities of daily living; and
(c) the weight has been stable for at least 6 months following significant weight loss prior to the lipectomy
(H)
(Anaes.) (Assist.)
Fee: $1,084.90 Benefit: 75% = $813.70
(See para TN.8.8, TN.8.97 of explanatory notes to this Category)
Category 3 - THERAPEUTIC PROCEDURES
30179 - Additional Information
Circumferential lipectomy, as an independent procedure, to correct circumferential excess of redundant skin and fat that is a direct consequence of significant weight loss, with or without a radical abdominoplasty, not being a service associated with a service to which item 30175, 30176, 30177, 45530, 45531, 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070, 46072, 46080, 46082, 46084, 46086, 46088 or 46090 applies, if:
(a) the circumferential excess of redundant skin and fat is complicated by intertrigo or another skin condition that risks loss of skin integrity and has failed 3 months of conventional (or non-surgical) treatment; and
(b) the circumferential excess of redundant skin and fat interferes with the activities of daily living; and
(c) the weight has been stable for at least 6 months following significant weight loss prior to the lipectomy
(H)
(Anaes.) (Assist.)
Fee: $1,335.30 Benefit: 75% = $1,001.50
(See para TN.8.8, TN.8.97 of explanatory notes to this Category)
Category 3 - THERAPEUTIC PROCEDURES
45530 - Additional Information
Post-mastectomy breast reconstruction, autologous (unilateral), using a large muscle or myocutaneous flap, isolated on its vascular pedicle, excluding repair of muscular aponeurotic layer, other than a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45006 or 45012 applies (H)
(Anaes.) (Assist.)
Fee: $1,210.10 Benefit: 75% = $907.60
(See para TN.8.8, TN.8.97 of explanatory notes to this Category)
Category 3 - THERAPEUTIC PROCEDURES
45531 - Additional Information
Post-mastectomy breast reconstruction, autologous (bilateral), using a large muscle or myocutaneous flap, isolated on its vascular pedicle, excluding repair of muscular aponeurotic layer, other than a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45006 or 45012 applies (H)
(Anaes.) (Assist.)
Fee: $2,117.70 Benefit: 75% = $1,588.30
(See para TN.8.8, TN.8.97 of explanatory notes to this Category)
Category 3 - THERAPEUTIC PROCEDURES
45564 - Additional Information
Free transfer of tissue (reconstructive surgery) for the repair of major tissue defect of the head and neck or other non-breast defect, using microvascular techniques, all necessary elements of the operation including (but not limited to):
(a) anastomoses of all required vessels; and
(b) raising of tissue on a vascular pedicle; and
(c) preparation of recipient vessels; and
(d) transfer of tissue; and
(e) insetting of tissue at recipient site; and
(f) direct repair of secondary cutaneous defect, if performed;
other than a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505, 45507, 45562 or 45567 applies—conjoint surgery, principal specialist surgeon (H)
(Anaes.) (Assist.)
Fee: $2,802.75 Benefit: 75% = $2,102.10
(See para TN.8.8 of explanatory notes to this Category)
Results 1 to 10 of 25 matches
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- 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