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Results 1 to 7 of 7 matches

Category 3 - THERAPEUTIC PROCEDURES

45530

45530 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jan-2016
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), using a latissimus dorsi or other large muscle or myocutaneous flap, including repair of secondary skin defect, if required, excluding repair of muscular aponeurotic layer, other than a service associated with a service to which item 30165, 30168, 30171, 30172, 30176, 30177 or 30179 applies

(H)

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $1,143.95 Benefit: 75% = $858.00

(See para TN.8.97 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

45533

45533 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Nov-2005
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 using breast sharing technique (first stage) including breast reduction, transfer of complex skin and breast tissue flap, split skin graft to pedicle of flap or other similar procedure

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $1,295.50 Benefit: 75% = $971.65

(See para TN.8.8 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

45534

45534 - Additional Information

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

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)

(H)

Multiple Operation Rule


(Anaes.)

Fee: $651.50 Benefit: 75% = $488.65

Category 3 - THERAPEUTIC PROCEDURES

45535

45535 - Additional Information

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

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

 (H)

Multiple Operation Rule


(Anaes.)

Fee: $1,140.15 Benefit: 75% = $855.15

Category 3 - THERAPEUTIC PROCEDURES

45536

45536 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Dec-1991
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 using breast sharing technique (second stage) including division of pedicle, insetting of breast flap, with closure of donor site or other similar procedure

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $476.45 Benefit: 75% = $357.35

Category 3 - THERAPEUTIC PROCEDURES

45539

45539 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Dec-1991
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 tissue expansion - insertion of tissue expansion unit and all attendances for subsequent expansion injections

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $1,114.65 Benefit: 75% = $836.00

Category 3 - THERAPEUTIC PROCEDURES

45542

45542 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Dec-1991
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 tissue expansion - removal of tissue expansion unit and insertion of permanent prosthesis

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $638.25 Benefit: 75% = $478.70

Results 1 to 7 of 7 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