Medicare Benefits Schedule - Item 45060

Developmental breast abnormality, single stage correction of, if:

(a) the correction involves either:

(i) bilateral mastopexy for symmetrical tubular breasts; or

(ii) surgery on both breasts with a combination of insertion of one or more implants (which must have at least a 10% volume difference), mastopexy or reduction mammaplasty, if there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least 20% in normally shaped breasts, or 10% in tubular breasts or in breasts with abnormally high inframammary folds; and

(b) photographic and/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

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $1,448.30 Benefit: 75% = $1,086.25

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