Medicare Benefits Schedule - Item 49776

Revision of arthrodesis of joint of hindfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed):

(a) capsulotomy;

(b) joint release;

(c) synovectomy;

(d) removal of osteophytes at joint;

(e) removal of hardware;

(f) neurolysis;

(g) osteotomy of non‑union or malunion;

other than a service associated with a service to which item 30023 applies—may only be claimed once per joint (H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $1,293.75 Benefit: 75% = $970.35

(See para TN.8.200, TN.8.224 of explanatory notes to this Category)

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• An arthrodesis consists of joint preparation, removal of surrounding osteophytes, intraarticular joint correction and fixation by any means.
• Bone procedures items (48430, 48400, 48403, 48406, 48409, 48418, or 48421) are not to be claimed unless performed at a separate site to the arthrodesis.
• Neurolysis (39330), wound debridement (30023) and ganglion excision (30107) items are not to be claimed unless performed at a site separate to the arthrodesis site.

Related Items: 30023 39330 48400 48403 48406 48409 48421 48430 49712 49740 49742 49744 49760 49776 49777 49778 49779 49780 49781 49789 49790 49791 49792 49793 49794 49795 49796 49797 49798 49814 49815 49845 49851 50118

Item 49776 is claimable once per joint.

Related Items: 49776