Medicare Benefits Schedule - Item 41768

Unilateral insertion of bioabsorbable implant for nasal airway obstruction due to lateral wall insufficiency confirmed by positive modified Cottle manoeuvre, if:

(a) the procedure is provided by a specialist in the practice of the specialist’s specialty of otolaryngology or plastic surgery; and

(b) the patient has a self‑reported NOSE Scale score of equal to or greater than 55; and

(c) NOSE Scale evidence (with or without photographic evidence demonstrating the clinical need for this service) is documented in the patient notes; and

(d) the patient has not previously received a service to which item 41769 applies

Applicable once per lifetime per nostril

Multiple Operation Rule

(Anaes.)

Fee: $205.90 Benefit: 75% = $154.45 85% = $175.05

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