Medicare Benefits Schedule - Item 49812

Advancement of tendon or ligament transfer of foot, including:

(a) side to side transfer, harvesting and transfer for ligament or minor foot tendon reconstruction; and

(b) either or both of the following (if performed):

(i) synovial biopsy;

(ii) synovectomy;

—one major tendon or toe (H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $474.20 Benefit: 75% = $355.65

(See para TN.8.201, TN.8.204, TN.8.223 of explanatory notes to this Category)

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• Items for excisional or interposition arthroplasty procedures are indicated for use when items 49734, 48430, 49860, or 49812 do not represent the complete procedure performed.
• Not to be used on the same joint undergoing arthroscopy (49730 or 49732), bunion correction (49827, 49830, 49833, 49836, 49837 or 49838) or an arthrodesis procedure for stabilisation.

Related Items: 48430 49715 49716 49717 49730 49732 49734 49812 49821 49827 49830 49833 49836 49837 49838 49839 49857 49860

• An adjacent tendon transfer is defined as a side to side repair or transfer of an adjacent tendon to the tendon being reconstructed and covered under 49724.
• When a tendon is harvested from a site separate to the reconstructed tendon or moved to the contralateral side of the foot then item 49736 can be combined.

Related Items: 49724 49727 49728 49736 49803 49806 49809 49812 49814

• Items for stabilisation of a joint procedure are indicated for use when items 49734, 48400, 48403, 49809 or 49812 do not represent the complete procedure performed.
• Not to be used on the same joint undergoing arthroscopy (49730 or 49732), bunion correction (49827, 49830, 49833, 49836, 49837 or 49838) or an arthrodesis procedure for stabilisation.

Related Items: 48400 48403 49706 49709 49734 49809 49812 49818 49827 49830 49833 49836 49837 49838 49845 49854