Medicare Benefits Schedule - Item 35648

Cervix, complete excision of the endocervical transformation zone, using large loop or laser therapy, including any local anaesthesia and biopsies, in conjunction with ablative treatment of additional areas of biopsy-proven high grade intraepithelial lesions of one or more sites of the vagina, vulva, urethra or anus 

Multiple Operation Rule

(Anaes.)

Fee: $363.10 Benefit: 75% = $272.35 85% = $308.65

(See para TN.8.45, TN.8.233, TN.8.235 of explanatory notes to this Category)

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The term "previously confirmed intraepithelial neoplastic changes of the cervix" in these items refers to diagnosis made by either cytologic, colposcopic or histologic methods. This may also include persistent human papilloma virus (HPV) changes of the cervix.

Related Items: 35644 35645 35647 35648

The procedure should only be performed if a patient satisfies the criteria according to the current National Cervical Screening Program.

Related Items: 35609 35610 35614 35647 35648 35723 35724

If the procedure is for glandular high grade abnormality or any suspected invasive cancer the procedure should be performed by a gynaecological oncologist or only after discussion with, or review by, a gynaecological oncologist or gynaecological oncology multidisciplinary team (MDT).

Related Items: 35536 35548 35560 35561 35562 35564 35609 35610 35647 35648 35667 35668 35720 35721 35723 35724