Medicare Benefits Schedule - Item 45524

Search Results for Item 45524

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

45524

45524 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Jul-2024

Group
T8 - Surgical Operations
Subgroup
13 - Plastic And Reconstructive Surgery
Subheading
4 - Other Grafts And Miscellaneous Procedures

Mammaplasty, augmentation (unilateral) in the context of:

(a) breast cancer; or

(b) developmental abnormality of the breast, if there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least:

(i) 20% in normally shaped breasts; or

(ii) 10% in tubular breasts or in breasts with abnormally high inframammary folds.

Applicable only once per occasion on which the service is provided, other than a service associated with a service to which item 45006 or 45012 applies (H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $844.90 Benefit: 75% = $633.70

(See para TN.8.96, TN.8.294 of explanatory notes to this Category)


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.8.96

Augmentation Mammaplasty - breast volume (45524)

Where volume differences of breasts are referenced, it is expected that volumetric measurement of the breasts is performed using a recognised technique published in a peer-reviewed journal article. Breast volumes and volume differences should be recorded in the patient case notes.

Related Items: 45524

Category 3 - THERAPEUTIC PROCEDURES

TN.8.294

Augmentation Mammaplasty and the use of prosthesis/prostheses (items 45524 and 45528))

Services under augmentation mammaplasty items 45524 and 45528 involve the insertion of a breast prosthesis/prostheses.

Autologous fat grafting in the context of breast cancer or developmental disorders can be claimed under items 45534 and 45535.

Related Items: 45524 45528 45534 45535


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