Medicare Benefits Schedule - Item 32025

RECTUM, LOW RESTORATIVE ANTERIOR RESECTION WITH EXTRAPERITONEAL ANASTOMOSIS (of the rectum) less than 10 centimetres from the anal verge, with or without covering stoma not being a service associated with a service to which item 32000, 32030, 32106 or 32232 applies (H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $2,079.40 Benefit: 75% = $1,559.55

(See para TN.8.246 of explanatory notes to this Category)

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These rectal resection procedures should be performed with the following requirements:
• in an appropriate setting with High Dependency Unit or Intensive Care Unit availability;
• include multidisciplinary team discussion of patient;
• have patient managed using Enhanced Recovery after Surgery (ERAS) principles; and
• in a setting with adequate access to stomal therapy nurse services.

In addition, item 32028 is appropriately used by 1 surgeon incorporating transanal total mesorectal excision.

Related Items: 32025 32026 32028