Medicare Benefits Schedule - Item 45528

Search Results for Item 45528

Category 3 - THERAPEUTIC PROCEDURES

45528

45528 - Additional Information

Item Start Date:
19-Jun-1997
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Nov-2023

Group
T8 - Surgical Operations
Subgroup
13 - Plastic And Reconstructive Surgery
Subheading
4 - Other Grafts And Miscellaneous Procedures

Mammaplasty, augmentation, bilateral (other than a service to which item 45527 applies), if:

(a) reconstructive surgery is indicated because of:

(i) developmental malformation of breast tissue (excluding hypomastia); or

(ii) disease of or trauma to the breast (other than trauma resulting from previous elective cosmetic surgery); or

(iii) amastia secondary to a congenital endocrine disorder; and

(b) photographic or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes

other than a service associated with a service to which item 45006 or 45012 applies (H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $1,224.35 Benefit: 75% = $918.30


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