Medicare Benefits Schedule - Item 49814

Reconstruction of major tendon of ankle, by any method, including:

(a) osteotomy of hindfoot, with internal fixation; and

(b) lengthening of major tendon of ankle; and

(c) any of the following (if performed):

(i) synovial biopsy;

(ii) synovectomy;

(iii) adjacent tendon transfer;

(iv) turn down flaps;

other than a service associated with a service to which item 49718 applies (H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $1,126.30 Benefit: 75% = $844.75

(See para TN.8.200, TN.8.204 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 procedure items (48430, 48400, 48403, 48406, 48409, 48419, or 48420) 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 48419 48420 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

• 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