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Related Items: 41671 45632 45635 45641 45644 45650

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Rhinoplasty, partial, involving correction of one or both lateral cartilages, one or both alar cartilages or one or both lateral cartilages and alar cartilages, if:

(a) the indication for surgery is:

(i) airway obstruction and the patient has a self reported NOSE Scale score of greater than 45; or

(ii) significant acquired, congenital or developmental deformity; and

(b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes

Multiple Operation Rule

Fee: $563.50 Benefit: 75% = $422.65 85% = $479.00

(See para TN.8.104 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $450.80

• Previous - Item 45629
• Next - Item 45635

Rhinoplasty, partial, involving correction of bony vault only, if:

(a) the indication for surgery is:

(i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or

(ii) significant acquired, congenital or developmental deformity; and

(b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes

Multiple Operation Rule

Fee: $646.75 Benefit: 75% = $485.10 85% = $549.75

(See para TN.8.104 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $517.40

• Previous - Item 45632
• Next - Item 45641

Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose, with or without autogenous cartilage or bone graft from a local site (nasal), if:

(a) the indication for surgery is:

(i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or

(ii) significant acquired, congenital or developmental deformity; and

(b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes

Multiple Operation Rule

Fee: $1,173.35 Benefit: 75% = $880.05

(See para TN.8.104 of explanatory notes to this Category)

• Previous - Item 45635
• Next - Item 45644

Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose involving autogenous bone or cartilage graft obtained from distant donor site, including obtaining of graft, if:

(a) the indication for surgery is:

(i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or

(ii) significant acquired, congenital or developmental deformity; and

(b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes;

other than a service associated with a service to which item 45718 applies (H)

Multiple Operation Rule

Fee: $1,408.25 Benefit: 75% = $1,056.20

(See para TN.8.104 of explanatory notes to this Category)

• Previous - Item 45641
• Next - Item 45645

Rhinoplasty, revision of, if:

(a) the indication for surgery is:

(i) airway obstruction and the patient has a self-reported NOSE Scale score of greater than 45; or

(ii) significant acquired, congenital or developmental deformity; and

(b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes

Multiple Operation Rule

Fee: $162.60 Benefit: 75% = $121.95 85% = $138.25

(See para TN.8.104 of explanatory notes to this Category)

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