Results 1 to 10 of 11 matches
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
45532 - Additional Information
Revision of post-mastectomy breast reconstruction, other than a service associated with a service to which item 45006 or 45012 applies (H)
(Anaes.) (Assist.)
Fee: $298.15 Benefit: 75% = $223.65
Category 3 - THERAPEUTIC PROCEDURES
45534 - Additional Information
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)
(Anaes.)
Fee: $695.35 Benefit: 75% = $521.55
Category 3 - THERAPEUTIC PROCEDURES
45535 - Additional Information
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)
(Anaes.)
Fee: $1,216.95 Benefit: 75% = $912.75
Category 3 - THERAPEUTIC PROCEDURES
45537 - Additional Information
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)
(Anaes.) (Assist.)
Fee: $865.80 Benefit: 75% = $649.35
Category 3 - THERAPEUTIC PROCEDURES
45538 - Additional Information
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)
(Anaes.) (Assist.)
Fee: $990.65 Benefit: 75% = $743.00
Category 3 - THERAPEUTIC PROCEDURES
45539 - Additional Information
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)
(Anaes.) (Assist.)
Fee: $1,587.25 Benefit: 75% = $1,190.45
Category 3 - THERAPEUTIC PROCEDURES
45540 - Additional Information
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)
(Anaes.) (Assist.)
Fee: $2,777.60 Benefit: 75% = $2,083.20
Category 3 - THERAPEUTIC PROCEDURES
45541 - Additional Information
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)
(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