Medicare Benefits Schedule - Item 32118

Treatment of external rectal prolapse, or of symptomatic high grade rectal intussusception (the rectum descends to the level of or into the anal canal, confirmed by diagnostic imaging):

(a) by minimally invasive surgery involving:

(i) ventral dissection of the extra-peritoneal rectum; and

(ii) suspension of the rectum from the sacral promontory by means of a prosthesis; and

(b) including suspension of the vagina if performed, and any associated repair;

other than a service associated with a service to which item 30390, 35595 or 35597 applies (H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $1,678.25 Benefit: 75% = $1,258.70

(See para TN.8.279 of explanatory notes to this Category)

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Surgeons performing minimally invasive ventral rectopexy procedures should be colorectal surgeons or general surgeons with a sub-specialist interest in colorectal surgery, with experience in the procedure.

Related Items: 32118