View Associated Notes
Category 3 - THERAPEUTIC PROCEDURES
48257 - Additional Information
Preparation and insertion of metallic, cortical or other graft substitute (allograft), where substitute is structural cortico-cancellous bone or structural bone (or both), including internal fixation (if performed) (H)
(Anaes.) (Assist.)
Fee: $454.10 Benefit: 75% = $340.60
(See para TN.8.177, TN.8.178, TN.8.282 of explanatory notes to this Category)
Associated Notes
Category 3 - THERAPEUTIC PROCEDURES
TN.8.177
Procedure for bone graft (Items 48245 - 48257)
- Bone grafts may be free, meaning the bone flap is not vascularised.
- Bone harvested with a vascular pedicle would be referred to as a pedicled bone flap.
- Item 48254 covers harvesting and insertion of a pedicled bone flap.
- Item 48254 does not cover free bone flaps, however alternative MBS items may be appropriate, for example 48245 or 48248.
Category 3 - THERAPEUTIC PROCEDURES
TN.8.178
Procedure for bone graft using bone graft substitutes (Item 48257)
‘Other graft substitute’ does not include demineralised bone matrix or bone graft substitutes such as synthetic materials, ceramics (bone void fillers), collagen composites, composite cement materials, bone morphogenetic protein, or recombinant human bone morphogenetic protein.
Related Items: 48257
Category 3 - THERAPEUTIC PROCEDURES
TN.8.282
Operative treatment of non-union or malunion in the hand (items 46401, 48456)
Items 48456 includes bone grafting as a mandatory component. The nature of the bone grafting required should be consistent with items 48248-48257.
Items 46401 and 48456 are both for the operative treatment of non-union of the phalanx or metacarpal of hand. 46401 should be claimed where no bone grafting meeting the threshold of 48248-48257 has been performed.
Item 48456 is inclusive of any bone graft harvesting and insertion, arthrotomy, debridement, osteotomy, removal of hardware, or internal fixation performed on that bone. Claiming a bone grafting item (48245-48257) and item 48456 on the same occasion on the same bone is not permitted. This does not prevent MBS items that include bone grafting from being claimed for surgery undertaken on another bone on the same occasion.
Item 48456 is not inclusive of additional procedures required for the treatment of osteomyelitis. In circumstances where patients require additional surgical treatment for osteomyelitis in the hand, item 43527 can also be claimed.
Item 48456 is claimable once per bone treated.
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