Medicare Benefits Schedule - Item 48438

Search Results for Item 48438

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

48438

48438 - Additional Information

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

Group
T8 - Surgical Operations
Subgroup
15 - Orthopaedic
Subheading
5 - Osteotomy And Osteectomy

Excision of one or more exostoses in the wrist including any of the following (if performed):

(a) capsulotomy;

(b) excision of surrounding osteophytes;

(c) release of ligaments;

(d) removal of one or more associated bursae or ganglia;

(e) removal of bone;

(f) synovectomy;

other than:

(g) a service to which 48436 applies; or

(h) a service associated with a service to which another item in this Schedule applies that:

(i) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and

(ii) is performed on the same joint or bone;

—each incision (H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $305.65 Benefit: 75% = $229.25

(See para TN.8.291 of explanatory notes to this Category)


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.8.291

Excision of exostoses in the hand, wrist, arm, or shoulder (items 48436, 48438, 48440)

Items 48436, 48438, and 48440 each provide for the removal of one or more exostoses when undertaken via the same incision.

Where multiple incisions are made to access the same exostosis, the relevant item should only be claimed once.

For the removal of exostoses in the hand and wrist on the same occasion:

  • Where exostoses are removed from the hand and wrist via separate incisions, items 48436 and 48438 may both be claimed.
  • Where exostoses are removed from the hand and wrist via a single, common incision, only item 48436 should be claimed.

For the removal of exostoses in the arm and wrist on the same occasion:

  • Where exostoses are removed from the arm and wrist via separate incisions, items 48438 and 48440 may both be claimed.
  • Where exostoses are removed from the arm and wrist via a single, common incision, only item 48438 should be claimed.

These items are not to be used in addition to an item for another arthroscopy, arthrodesis, arthroplasty, osteotomy, or removal of hardware where those procedures are performed on the same joint or bone.

Related Items: 48436 48438 48440


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