Medicare Benefits Schedule - Item 42698

Search Results for Item 42698

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

42698 Amend

42698 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2025
Schedule Fee Updated:
01-Jul-2024

Group
T8 - Surgical Operations
Subgroup
9 - Ophthalmology

Lens extraction, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H)

Multiple Operation Rule

(Anaes.)

Fee: $677.50 Benefit: 75% = $508.15

(See para TN.8.80 of explanatory notes to this Category)

Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.8.80

Cataract surgery (Items 42698 and 42701)

Items 42698 and 42701 provide for intraocular lens extraction and replacement as a separate procedure to be used in instances when lens removal and replacements are contraindicated at the same operation, such as in patients presenting with proliferative diabetic retinopathy or recurrent uveitis.

Related Items: 42698 42701

Legend

  • Assist - Addition/Deletion of (Assist.)
  • Amend - Amended Description
  • Anaes - Anaesthetic Values Amended
  • Emsn - EMSN Change
  • Fee - Fee Amended
  • Renum - Item Number Change (renumbered)
  • New - New Item
  • NewMin - New Item (previous Ministerial Determination)
  • Qfe - QFE Change