Results 1 to 9 of 9 matches
Category 3 - THERAPEUTIC PROCEDURES
Category 3 - THERAPEUTIC PROCEDURES
Category 3 - THERAPEUTIC PROCEDURES
45060 - Additional Information
Developmental breast abnormality, single stage correction of, if:
(a) the correction involves either:
(i) bilateral mastopexy for symmetrical tubular breasts; or
(ii) surgery on both breasts with a combination of insertion of one or more implants (which must have at least a 10% volume difference), mastopexy or reduction mammaplasty, if there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least 20% in normally shaped breasts, or 10% in tubular breasts or in breasts with abnormally high inframammary folds; and
(b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes
Applicable only once per occasion on which the service is provided
(Anaes.) (Assist.)
Fee: $1,399.30 Benefit: 75% = $1,049.50
Category 3 - THERAPEUTIC PROCEDURES
45061 - Additional Information
Developmental breast abnormality, 2 stage correction of, first stage, involving surgery on both breasts with a combination of insertion of one or more tissue expanders, mastopexy or reduction mammaplasty, if:
(a) 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; and
(b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes.
Applicable only once per occasion on which the service is provided
(Anaes.) (Assist.)
Fee: $1,399.30 Benefit: 75% = $1,049.50
Category 3 - THERAPEUTIC PROCEDURES
45062 - Additional Information
Developmental breast abnormality, 2 stage correction of, second stage, involving surgery on both breasts with a combination of exchange of one or more tissue expanders for one or more implants (which must have at least a 10% volume difference), mastopexy or reduction mammaplasty, if:
(a) 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; and
(b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes.
Applicable only once per occasion on which the service is provided
(Anaes.) (Assist.)
Fee: $1,012.60 Benefit: 75% = $759.45
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
45556 - Additional Information
Breast ptosis, correction of (unilateral), in the context of breast cancer or developmental abnormality, if photographic evidence (including anterior, left lateral and right lateral views) and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes
Applicable only once per occasion on which the service is provided, other than a service associated with a service to which item 31512, 31513 or 31514 applies on the same side (H)
(Anaes.) (Assist.)
Fee: $843.15 Benefit: 75% = $632.40
(See para TN.8.99 of explanatory notes to this Category)
Category 3 - THERAPEUTIC PROCEDURES
45558 - Additional Information
Correction of bilateral breast ptosis by mastopexy, if:
(a) at least two‑thirds of the breast tissue, including the nipple, lies inferior to the inframammary fold where the nipple is located at the most dependent, inferior part of the breast contour; and
(b) photographic evidence (including anterior, left lateral and right lateral views), with a marker at the level of the inframammary fold, demonstrating the clinical need for this service, is documented in the patient notes
Applicable only once per lifetime, other than a service associated with a service to which item 31512, 31513 or 31514 applies
(H)
(Anaes.) (Assist.)
Fee: $1,264.70 Benefit: 75% = $948.55
(See para TN.8.99 of explanatory notes to this Category)
Results 1 to 9 of 9 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