Medicare Benefits Schedule - Item 39345

Search Results for Item 39345

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

39345

39345 - Additional Information

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

Group
T8 - Surgical Operations
Subgroup
7 - Neurosurgical
Subheading
3 - Peripheral Nerves

Localised decompression of radial, median or ulnar nerve, or branches of, in the forearm for compressive neuropathy, including neurolysis (if performed), other than a service associated with a service to which item 30023 applies that is performed at the same site

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $315.30 Benefit: 75% = $236.50 85% = $268.05

(See para TN.8.186, TN.8.283 of explanatory notes to this Category)


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.8.186

Procedure for neurolysis (Item 39329)

“Extensive” neurolysis should include scar tissue involvement of greater than 5 cm and / or post traumatic adhesions not isolated to a local point of decompression.

Related Items: 39329 39345

Category 3 - THERAPEUTIC PROCEDURES

TN.8.283

Procedures involving wound debridement (item 30023) on the same occasion as some orthopaedic or neurosurgical procedures

Items 39303, 39309-39315, 39329-39345, 46335, 46339-46341, 46348-46360, 46364, 46387, 46390-46395, 46408, 46414, 46423, 46434, 46450, 46453, 46522, 46525, 49717, 49740, 49744, 49771-49776, 49782, 49866, 49881-49890 all include the phrase "other than a service associated with a service to which item 30023 applies that is performed at the same site".

This indicates that an additional benefit is not payable for debridement of a soft tissue wound under item 30023 where it is performed at the same site on the same occasion.

These procedures are considered to be performed at the same site as the wound debridement (item 30023) where:

  • Any incision for the orthopaedic or neurosurgical procedures involves the wound that is debrided.
  • Debridement of the wound is required as part of the surgical approach and is considered an inherent part of the orthopaedic or neurosurgical procedure.

Related Items: 30023 39303 39309 39312 39315 39329 39330 39331 39332 39336 39339 39342 39345 46335 46339 46340 46341 46348 46351 46354 46357 46360 46364 46387 46390 46393 46394 46395 46408 46414 46423 46434 46450 46453 46522 46525 49717 49740 49744 49771 49773 49774 49775 49776 49782 49866 49881 49884 49887 49890


Legend

  • Assist - Addition/Deletion of (Assist.)
  • Amend - Amended Description
  • Anaes - Anaesthetic Values Amended
  • Emsn - EMSN Change
  • Fee - Fee Amended
  • Renum - Item Number Change (renumbered)
  • New - New Item
  • NewMin - New Item (previous Ministerial Determination)
  • Qfe - QFE Change