View Associated Notes
Category 3 - THERAPEUTIC PROCEDURES
45650 - Additional Information
Rhinoplasty, revision of, if:
(a) the indication for surgery is:
(i) airway obstruction and the patient has a self-reported NOSE Scale score of greater than 45; or
(ii) significant acquired, congenital or developmental deformity; and
(b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes
(Anaes.)
Fee: $168.30 Benefit: 75% = $126.25 85% = $143.10
(See para TN.8.104 of explanatory notes to this Category)
Associated Notes
Category 3 - THERAPEUTIC PROCEDURES
TN.8.104
Rhinoplasty - (Items 45632 to 45644, and 45650)
Benefits are payable for septoplasty (item 41671) where performed in conjunction with rhinoplasty.
A Medicare benefit for items 45632 – 45644 and 45650 is payable where the indication for surgery is for:
(i) airway obstruction and the patient has a self-reported NOSE Scale score of greater than 45; or
(ii) significant acquired, congenital or developmental deformity.
The NOSE Scale refers to the Nasal Obstruction Symptom Evaluation Scale, as published in:
Stewart, M.G., Witsell, D.L., Smith, T.L., Weaver, E.M., Yueh, B. and Hannley, M.T. (2004), Development and Validation of the Nasal Obstruction Symptom Evaluation (NOSE) Scale. Otolaryngology–Head and Neck Surgery, 130: 157-163.
The NOSE Scale can be accessed here: https://www.entnet.org/wp-content/uploads/files/NOSE-Instrument.pdf
Full clinical details must be documented in patient notes, including pre-operative photographic and / or NOSE Scale evidence demonstrating the clinical need for the service as this may be subject to audit.
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