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Results 1 to 10 of 11 matches

Category 3 - THERAPEUTIC PROCEDURES

45530

45530 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Nov-2023

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

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)

Multiple Operation Rule


(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

45531 - Additional Information

Item Start Date:
01-Jul-2023
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Nov-2023

Group
T8 - Surgical Operations
Subgroup
13 - Plastic And Reconstructive Surgery

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)

Multiple Operation Rule


(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

45532

45532 - Additional Information

Item Start Date:
01-Jul-2023
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Nov-2023

Group
T8 - Surgical Operations
Subgroup
13 - Plastic And Reconstructive Surgery

Revision of post-mastectomy breast reconstruction, other than a service associated with a service to which item 45006 or 45012 applies (H)

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $298.15 Benefit: 75% = $223.65

Category 3 - THERAPEUTIC PROCEDURES

45534

45534 - Additional Information

Item Start Date:
01-Jul-2023
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Nov-2023

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

Autologous fat grafting, unilateral service (harvesting, preparation and injection of adipocytes) if:

(a) the autologous fat grafting is for one or more of the following purposes:

(i) the correction of defects arising from treatment and prevention of breast cancer in patients with contour defects, greater than or equal to 20% volume asymmetry, post‑treatment pain or poor prosthetic coverage;

(ii) the preparation of post mastectomy thin or irradiated skin flaps in patients intending to have breast reconstruction;

(iii) breast reconstruction in breast cancer patients;

(iv) the correction of developmental disorders of the breast; and

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

Up to a total of 4 services per side (for total treatment of a single breast), other than a service associated with a service to which item 45006 or 45012 applies

(H)

Multiple Operation Rule


(Anaes.)

Fee: $695.35 Benefit: 75% = $521.55

Category 3 - THERAPEUTIC PROCEDURES

45535

45535 - Additional Information

Item Start Date:
01-Jul-2023
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Nov-2023

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

Autologous fat grafting, bilateral service (harvesting, preparation and injection of adipocytes) if:

(a) the autologous fat grafting is for one or more of the following purposes:

(i) the correction of defects arising from treatment and prevention of breast cancer in patients with contour defects, greater than or equal to 20% volume asymmetry, post‑treatment pain or poor prosthetic coverage;

(ii) the preparation of post mastectomy thin or irradiated skin flaps in patients intending to have breast reconstruction;

(iii) breast reconstruction in breast cancer patients;

(iv) the correction of developmental disorders of the breast; and

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

Up to a total of 4 services, other than a service associated with a service to which item 45006 or 45012 applies

 (H)

Multiple Operation Rule


(Anaes.)

Fee: $1,216.95 Benefit: 75% = $912.75

Category 3 - THERAPEUTIC PROCEDURES

45537

45537 - Additional Information

Item Start Date:
01-Jul-2023
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Nov-2023

Group
T8 - Surgical Operations
Subgroup
13 - Plastic And Reconstructive Surgery

Perforator flap, such as a thoracodorsal artery perforator (TDAP) flap or a lateral intercostal artery perforator (LICAP) flap, or similar, raising on a named source vessel, for reconstruction of a partial mastectomy defect, other than a service associated with a service to which item 45006 or 45012 applies (H)

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $865.80 Benefit: 75% = $649.35

Category 3 - THERAPEUTIC PROCEDURES

45538

45538 - Additional Information

Item Start Date:
01-Jul-2023
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Nov-2023

Group
T8 - Surgical Operations
Subgroup
13 - Plastic And Reconstructive Surgery

Perforator flap, such as a deep inferior epigastric perforator (DIEP) flap or similar, raising in preparation for microsurgical transfer of a free flap for post mastectomy breast reconstruction, other than a service associated with a service to which item 45006 or 45012 applies (H)

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $990.65 Benefit: 75% = $743.00

Category 3 - THERAPEUTIC PROCEDURES

45539

45539 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Nov-2023

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

Breast reconstruction (unilateral), following mastectomy, using tissue expansion—insertion of tissue expansion unit and all attendances for subsequent expansion injections, other than a service associated with a service to which item 45006 or 45012 applies (H)

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $1,587.25 Benefit: 75% = $1,190.45

Category 3 - THERAPEUTIC PROCEDURES

45540

45540 - Additional Information

Item Start Date:
01-Jul-2023
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Nov-2023

Group
T8 - Surgical Operations
Subgroup
13 - Plastic And Reconstructive Surgery

Breast reconstruction (bilateral), following mastectomy, using tissue expansion—insertion of tissue expansion unit and all attendances for subsequent expansion injections, other than a service associated with a service to which item 45006 or 45012 applies (H)

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $2,777.60 Benefit: 75% = $2,083.20

Category 3 - THERAPEUTIC PROCEDURES

45541

45541 - Additional Information

Item Start Date:
01-Jul-2023
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Nov-2023

Group
T8 - Surgical Operations
Subgroup
13 - Plastic And Reconstructive Surgery

Breast reconstruction (bilateral), following mastectomy, using tissue expansion—removal of tissue expansion unit and insertion of permanent prosthesis, other than a service associated with a service to which item 45006 or 45012 applies (H)

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $1,181.55 Benefit: 75% = $886.20

Results 1 to 10 of 11 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