Medicare Benefits Schedule - Item 49839

Search Results for Item 49839

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

49839

49839 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2024

Group
T8 - Surgical Operations
Subgroup
15 - Orthopaedic
Subheading
14 - Foot

Total replacement of first metatarsophalangeal joint, with replacement of both joint surfaces, including any of the following (if performed):

(a) capsulotomy;

(b) synovectomy;

(c) joint debridement

(H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $589.90 Benefit: 75% = $442.45

(See para TN.8.199, TN.8.201 of explanatory notes to this Category)


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.8.199

Definitions - Foot and Ankle Items

  • Ray: From the tip of a digit to the proximal metatarsal base of that digit, including phalanges and metatarsal bones.
  • Hindfoot joints: Consist of subtalar, talonavicular and calcaneocuboid joints.
  • Hindfoot bones: Consist of the calcaneus, talus, navicular and cuboid.
  • Midfoot joints: Consist of naviculocuneiform and tarsometatarsal joints.
  • Midfoot bones: Consist of cuneiforms.
  • Major ankle tendons: Consist of the Achilles’, tibialis anterior, tibialis posterior, peroneal (both longus and brevis), extensor hallucis longus and flexor hallucis longus tendons.
  • Flexor tendon: Both the flexor digitorum longus and flexor digitorum brevis tendons.
  • Extensor tendon: Both the extensor digitorum longus and extensor digitorum brevis tendons.
  • Reconstruction of a tendon: Treatment of a degenerative tendon where more than end-to-end repair of tendon rupture is involved.
  • Transtarsal amputation: Involves amputation of the foot through the tarsal or metatarsal bones, or through the tarsometatarsal joints.
  • Joint debridement: Removal of osteophytes, removal of part of the joint, and removal of intervening soft tissue, loose bone ossicles or fragments from one or both sides of a joint.
  • Primary treatment: Acute and first management of an injury or pathology. 
  • Delayed or secondary treatment: Subsequent to primary treatment, or occuring after the normal expected healing time for the relevant tissue.
  • Revision procedure: A repeat operation to replace or compensate for a failed implant, correct a painful non-union of fracture or fusion, correct malunion, reconstruct a failed soft tissue procedure, or correct undesirable complications of previous surgery.
  • Operative exposure: Includes (if performed) arthrotomy and/or arthroscopy of joint, washout of joint, removal of loose fragments or loose bodies, synovectomy of neurovascular bundle and closure of capsule.
  • Radical plantar fasciotomy or fasciectomy: Involves the partial or complete removal of the plantar fascia, but does not involve simple release of the fascia.

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