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Category 3 - THERAPEUTIC PROCEDURES

45524

45524 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Nov-2018
Schedule Fee Updated:
01-Jul-2021

Group
T8 - Surgical Operations
Subgroup
13 - Plastic And Reconstructive Surgery
Subheading
4 - Other Grafts And Miscellaneous Procedures

Mammaplasty, augmentation (unilateral) in the context of:

(a) breast cancer; or

(b) developmental abnormality of the breast, if there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least:

(i) 20% in normally shaped breasts; or

(ii) 10% in tubular breasts or in breasts with abnormally high inframammary folds.

Applicable only once per occasion on which the service is provided

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $771.70 Benefit: 75% = $578.80

(See para TN.8.96 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

45527

45527 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Nov-2018
Schedule Fee Updated:
01-Jul-2021

Group
T8 - Surgical Operations
Subgroup
13 - Plastic And Reconstructive Surgery
Subheading
4 - Other Grafts And Miscellaneous Procedures

Breast reconstruction (unilateral), following mastectomy, using a permanent prosthesis

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $771.70 Benefit: 75% = $578.80

(See para TN.8.96 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

45528

45528 - Additional Information

Item Start Date:
01-Nov-1997
Description Updated:
01-Nov-2018
Schedule Fee Updated:
01-Jul-2021

Group
T8 - Surgical Operations
Subgroup
13 - Plastic And Reconstructive Surgery
Subheading
4 - Other Grafts And Miscellaneous Procedures

Mammaplasty, augmentation, bilateral (other than a service to which item 45527 applies), if:

(a) reconstructive surgery is indicated because of:

(i) developmental malformation of breast tissue (excluding hypomastia); or

(ii) disease of or trauma to the breast (other than trauma resulting from previous elective cosmetic surgery); or

(iii) amastia secondary to a congenital endocrine disorder; and

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

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $1,157.40 Benefit: 75% = $868.05

(See para TN.8.96 of explanatory notes to this Category)

Results 1 to 3 of 3 matches


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