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Category 3 - THERAPEUTIC PROCEDURES

Breast Prosthesis, Removal and Replacement of - (Items 45553 and 45554)

Category 3 - THERAPEUTIC PROCEDURES

45553

45553 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Nov-2018
Schedule Fee Updated:
01-Jul-2020

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

Breast prosthesis, removal of and replacement with another prosthesis, following medical complications (for rupture, migration of prosthetic material or symptomatic capsular contracture), if:

(a) either:

(i) it is demonstrated by intra-operative photographs post-removal that removal alone would cause unacceptable deformity; or

(ii) the original implant was inserted in the context of breast cancer or developmental abnormality; 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: $589.45 Benefit: 75% = $442.10

(See para TN.8.98 of explanatory notes to this Category)

Results 1 to 2 of 2 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