Medicare Benefits Schedule - Item 45070

Developmental breast abnormality, single stage correction of, involving surgery on one breast, if:

(a) the correction involves either:

(i) insertion of an implant with or without mastopexy; or
(ii) reduction mammaplasty; and

(b) there is a difference in breast volume with the other breast, 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

(c) photographic 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 (H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $1,014.40 Benefit: 75% = $760.80

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