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Mastectomy for gynaecomastia (unilateral), with or without liposuction (suction assisted lipolysis), if:
(a) breast enlargement is not due to obesity and is not proportionate to body habitus; and
(b) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes;
not being a service associated with a service to which item 45585 applies (H)

Multiple Operation Rule

Fee: $572.35 Benefit: 75% = $429.30

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Liposuction (suction assisted lipolysis) to one regional area (one limb or trunk), other than a service associated with a service to which item 31525 or 31526 applies, if:

(a) the liposuction is for:

(i) the treatment of Barraquer-Simons syndrome, lymphoedema or macrodystrophia lipomatosa; or

(ii) the reduction of a buffalo hump that is secondary to an endocrine disorder or pharmacological treatment of a medical condition; and

(b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes

(H)

Multiple Operation Rule

Fee: $695.35 Benefit: 75% = $521.55

(See para TN.8.101 of explanatory notes to this Category)

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