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Synovectomy of interphalangeal, metacarpophalangeal or carpometacarpal joint of hand, including any of the following (if performed):

(a) capsulectomy;

(b) debridement;

(c) ligament or tendon realignment (or both);

other than a service combined with a service to which item 46495 applies—one joint

Multiple Operation Rule

Fee: $289.80 Benefit: 75% = $217.35 85% = $246.35

(See para TN.8.190 of explanatory notes to this Category)

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• Next - Item 46339

Synovectomy of digital flexor tendons at wrist level, for diagnosed inflammatory arthritis, including either or both of the following (if performed):

(a) tenolysis;

(b) release of median nerve and carpal tunnel;

other than a service associated with:

(c) a service to which item 39330 or 39331 applies; or

(d) a service to which item 30023 applies that is performed at the same site

Applicable once per wrist per occasion on which the service is performed (H)

Multiple Operation Rule

Fee: $513.15 Benefit: 75% = $384.90

(See para TN.8.185, TN.8.190, TN.8.283 of explanatory notes to this Category)

• Previous - Item 46336
• Next - Item 46340

Synovectomy of wrist flexor or extensor tendons of hand or wrist, for diagnosed inflammatory tenosynovitis, including any of the following (if performed):

(a) reconstruction of flexor or extensor retinaculum;

(b) removal of tendon nodules;

(c) tenolysis;

(d) tenoplasty;

other than a service associated with:

(e) a service to which item 39330 applies; or

(f) if this service is performed on the wrist flexor tendons—a service to which item 39331 applies; or

(g) a service to which item 30023 applies that is performed at the same site

—one or more compartments per limb (H)

Multiple Operation Rule

Fee: $436.20 Benefit: 75% = $327.15

(See para TN.8.184, TN.8.185, TN.8.190, TN.8.283 of explanatory notes to this Category)

• Previous - Item 46339
• Next - Item 46341

Synovectomy of wrist flexor or extensor tendons of hand or wrist, for non-inflammatory tenosynovitis or post traumatic synovitis, including any of the following (if performed):

(a) reconstruction of flexor or extensor retinaculum;

(b) removal of tendon nodules;

(c) tenolysis;

(d) tenoplasty;

other than a service associated with:

(e) a service to which item 39330 applies; or

(f) if this service is performed on the wrist flexor tendons—a service to which item 39331 applies; or

(g) a service to which item 30023 applies that is performed at the same site

—one or more compartments per limb (H)

Multiple Operation Rule

Fee: $279.75 Benefit: 75% = $209.85

(See para TN.8.185, TN.8.190, TN.8.283 of explanatory notes to this Category)

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• Next - Item 46342

Synovectomy of distal radioulnar or carpometacarpal joint of hand—one or more joints (H)

Multiple Operation Rule

Fee: $513.15 Benefit: 75% = $384.90

(See para TN.8.190 of explanatory notes to this Category)

• Previous - Item 46341
• Next - Item 46345

Resection arthroplasty of distal radioulnar joint of hand, partial or complete, including any of the following (if performed):

(a) ligament or tendon reconstruction;

(b) joint stabilisation;

(c) synovectomy

(H)

Multiple Operation Rule

Fee: $620.85 Benefit: 75% = $465.65

(See para TN.8.190 of explanatory notes to this Category)

• Previous - Item 46342
• Next - Item 46348

Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed):

(a) removal of intratendinous nodules;

(b) tenolysis;

(c) tenoplasty;

other than a service associated with:

(d) a service to which item 30023 applies that is performed at the same site; or

(e) a service to which item 46363 applies that is performed on the same ray

—one ray (H)

Multiple Operation Rule

Fee: $269.05 Benefit: 75% = $201.80

(See para TN.8.190, TN.8.283, TN.8.284 of explanatory notes to this Category)

• Previous - Item 46345
• Next - Item 46351

Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed):

(a) removal of intratendinous nodules;

(b) tenolysis;

(c) tenoplasty;

other than a service associated with:

(d) a service to which item 30023 applies that is performed at the same site; or

(e) a service to which item 46363 applies that is performed on one of the same rays

—2 rays of one hand (H)

Multiple Operation Rule

Fee: $401.55 Benefit: 75% = $301.20

(See para TN.8.190, TN.8.283, TN.8.284 of explanatory notes to this Category)

• Previous - Item 46348
• Next - Item 46354

Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed):

(a) removal of intratendinous nodules;

(b) tenolysis;

(c) tenoplasty;

other than a service associated with:

(d) a service to which item 30023 applies that is performed at the same site; or

(e) a service to which item 46363 applies that is performed on one of the same rays

—3 rays of one hand (H)

Multiple Operation Rule

Fee: $538.10 Benefit: 75% = $403.60

(See para TN.8.190, TN.8.283, TN.8.284 of explanatory notes to this Category)

• Previous - Item 46351
• Next - Item 46357

Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed):

(a) removal of intratendinous nodules;

(b) tenolysis;

(c) tenoplasty;

other than a service associated with:

(d) a service to which item 30023 applies that is performed at the same site; or

(e) a service to which item 46363 applies that is performed on one of the same rays

—4 rays of one hand (H)

Multiple Operation Rule

Fee: $670.60 Benefit: 75% = $502.95

(See para TN.8.190, TN.8.283, TN.8.284 of explanatory notes to this Category)

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• Next - Item 46360